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

Revelation Family Medicine Office, LLC

Organization Adult Medicine Physician · NPI 1912472200

Revelation Family Medicine Office, LLC is an Adult Medicine Physician in Hollywood, Florida. Registered with an NPI since 2018.

In the registry since
2018
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

3939 Hollywood Blvd Ste 300B
Hollywood, FL 33021-6749
Phone: (786) 863-8633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1912472200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean-Marcel Forte — Certified Physician Assistant · (305) 807-4283
NPI enumeratedOctober 12, 2018
Last updated in NPPESOctober 12, 2018
Mailing address3939 Hollywood Blvd Ste 300b, Hollywood, FL 33021-6749

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