Revenant International LTD Co

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

REVENANT INTERNATIONAL LTD CO

Doing business as

Revenant International LLC

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(941) 365-0333

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Trevor Jones

Title

Authorized Official

Phone

(718) 717-8121

Specialties & licenses 1

Addresses

Other names 1

• Revenant International LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Unknown Komal, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Valrico, FL
  • NPI 1235616541
  NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1912784091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "941-365-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVENANT INTERNATIONAL LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-717-8121"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revenant International LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rest Assured Pharmacy and HM Care
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• Restoration Psychiatry Services LLC
• Retreat European Esthetics PL
• Ross Revella, DC
• Revive Medical Spa LLC
• Francisco Jesus Rey, M.D.
• Dannaly Reyes Baerga, M.D.
• Carlos E Reyes, M.D.
• Josephine Reyes

• Endocrinology, Diabetes & Metabolism Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.