Revive Surgicenter LLC
NPI #1023816774 in Pompano Beach, Florida
Provider Information
- NPI Number
- 1023816774
- Entity Type
- Organization
- Organization Name
- Revive Surgicenter LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 6, 2025
- Last Updated
- Mar 6, 2025
Practice Location
- Address
- 1347 E SAMPLE RD STE 102
- City
- Pompano Beach
- State
- Florida
- ZIP Code
- 33064-6278
- Phone
- (314) 283-8738
Authorized Official
- Name
- DANE POHLMAN, DO
- Title
- OWNER
- Phone
- (314) 283-8738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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