Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revamp - Encardia, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1962245076

Revamp - Encardia, LLC is an Ambulatory Surgical Clinic/Center in Philadelphia, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

510 N Broad St Ste 201
Philadelphia, PA 19130-4379
Phone: (267) 908-9520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1962245076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Baldock — Officer And Authorized Official · (615) 234-5954
Other names Revamp Heart & Vascular Surgery Center
NPI enumeratedJune 17, 2024
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address510 N Broad St Ste 201, Philadelphia, PA 19130-4379

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