Graduated: 2017
Offers telehealth
NPI: 1386163053
Practice Locations (2)
17395 N BAY RD, SUITE 200
SUNNY ISLES BEACH, FL 331603308
3059096325
REVIVED SOUL MEDICAL PC
1329 E 17TH ST
BROOKLYN, NY 112306052
7183825060
Source: CMS National Downloadable File, September 2026.