CARROLLWOOD MEDICAL GROUP, LLC. is a clinic center in Tampa, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CARROLLWOOD MEDICAL GROUP, LLC. NPI is 1982150348. The provider is registered as an organization entity type.
The provider Is Doing Business As Revello Medical Center.
The provider's business location address is:
10213 LAKE CARROLL WAY
STE D
TAMPA, FL
ZIP 33618-402
Phone: (813) 888-8215
Fax: (813) 885-5398
The provider's authorized official is Antonio Calvo .
The authorized official title is Manager and has the following contact phone number (813) 888-8215.
The CLIA number assigned to this NPI record is 10D2118999 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/26/2016 and was last updated on 8/26/2016.