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Search › Florida › 171M00000X

Juan Revilla, BA

NPI 1811159080 · on the registry since 2008

Practice

Address
919 E 2nd St
Sanford, FL 32771
Phone
(407) 321-3170
Fax
(407) 321-3488
Organisation at this address
Aspire Health Partners
Seminole Behavioral Healthcare
Seminole Community Mental Health
Seminole County Mental Health Center, Inc.
Seminole Community Mental Health Organization
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida