MEDICARE: REVOLUTION PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1740135458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVOLUTION PSYCHIATRY

Provider Business Mailing Address
First Line	:	603 BERRY BRAMBLE DR
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33510-2730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 TECH BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7846
Country	:	US
Telephone Number	:	727-251-9704
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	DIPA SOLANKI
Credential	:	APRN,FNP-C,PMHNP-BC
Telephone Number	:	727-251-9704

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	03/07/2026

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Directions to “REVOLUTION PSYCHIATRY ” Practice Location

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