Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Home Infusion Therapy LLC

Organization Home Infusion Agency · NPI 1265012132

Revive Home Infusion Therapy LLC is a Home Infusion Agency in Winter Park, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

354 W Fairbanks Ave
Winter Park, FL 32789-5093
Phone: (321) 972-4243
Fax: (321) 972-4214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Infusion Agency (primary) Taxonomy 251F00000X

Record details

NPI number1265012132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liliya Heretsun-Roussonicolos — Owner · (772) 207-6266
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021
Mailing address354 W Fairbanks Ave, Winter Park, FL 32789-5093

Other providers in Winter Park