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General NPI Number Information
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NPI Number | 1649110461
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Entity Type | Organization
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Legal Business Name | REVIVE HEALTH CENTER LEHIGH CORP
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 5598 8TH ST W UNIT 5
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-6341
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Country | US
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Telephone | 239-309-0604
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Fax | 239-309-0604
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Provider Business Mailing Address
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Address Line | 4019 W WATERS AVE STE E
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City | TAMPA
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State | FL
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Zip | 33614-2333
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Country | US
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Telephone | 239-309-0604
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Fax | 954-388-0466
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Authorized Official
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Title or Position | OWNER
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Name | AARON FRIEDEBERG
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Credential |
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Telephone | 239-309-0604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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