Jennifer Revels, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME66898 Issued in FL

Practice address

3030 US Highway 27 S
Avon Park, FL 33825-9761

Phone

(863) 314-0555

Fax

(863) 314-0806

NPI assigned

Oct 29, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• F M Abanilla MD PA

  • Clinic/Center
  • Avon Park, FL
  • NPI 1245414911

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1609744606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 US HIGHWAY 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259761",
            "telephone_number": "863-314-0555",
            "fax_number": "863-314-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 US HIGHWAY 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259761",
            "telephone_number": "863-314-0555",
            "fax_number": "863-314-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELS",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME66898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed H Qadri, M.D.
• Sharneiqua Tania Quashie
• Quintana Ventures LLC
• Rebecca Ann Renner, RD
• Megan Elizabeth Renz, LMHC
• Reynaldo L Descalso MD PA
• Richard M. a. Wood DMD, PA
• Ridge Area Arc Inc
• Cristina Marie Rivera
• Jose Augusto Rivera, PH.D., M.A.

• Nephrology Physician in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.