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

Revive5 Pain Management LLC

Organization Clinic/Center · NPI 1508749664

Revive5 Pain Management LLC is a Clinic/Center in Orlando, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
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

801 N Orange Ave Ste 710
Orlando, FL 32801-5202
Phone: (407) 333-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X
Clinic/Center Taxonomy 261Q00000X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Urgent Care Clinic/Center Taxonomy 261QU0200X
Oncology Clinic/Center Taxonomy 261QX0200X

Record details

NPI number1508749664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osama Soudah — Owner · (714) 476-6272
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address801 N Orange Ave Ste 710, Orlando, FL 32801-5202

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