DIANA REVENCO, MD

NPI: 1386810091 · Individual · Active

Primary Specialty

Cardiovascular Disease Physician
Internal Medicine — Cardiovascular Disease

Practice Location

6919 N DALE MABRY HWY STE 125
TAMPA, FL 33614-3972 Map ↗
Phone: 813-497-9661
Fax: 813-615-8468

Mailing Address

1100 9TH AVE
MS:M4-PFS
SEATTLE, WA 98101-2756 Map ↗
Phone: 206-515-5811

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Cardiovascular Disease Physician Primary — Cardiovascular Disease (license: ME146373, FL)
  • Cardiovascular Disease Physician — Cardiovascular Disease (license: MD60668587, WA)
  • Nuclear Cardiology Physician — Nuclear Cardiology (license: 15634, NH)

Other Practice Locations

1100 9th Ave
MS:X3-CAR
Seattle, WA 98101-2756 Map ↗
Phone: 206-341-1111

NPI Registration

Enumerated: 2008-05-02

Last CMS Update: 2023-09-15