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Contact Information

REVISION THERAPY
400 N TAMPA ST
1550 PMB 767259
TAMPA, FL33602
 Phone: 727-222-0558
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for REVISION THERAPY

NPI # 1285577171
LBN Legal business name REVISION THERAPY
Authorized official NICASIO RENALDO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2026
Last updated 04/14/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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