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

Revita Medical Center LLC

Organization Adult Medicine Physician · NPI 1811723869

Revita Medical Center LLC is an Adult Medicine Physician in Homestead, Florida. 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

724 S Krome Ave
Homestead, FL 33030-7264
Phone: (786) 922-6393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1811723869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diego Ferreira — Manager · (786) 339-8248
NPI enumeratedSeptember 9, 2024
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address724 S Krome Ave, Homestead, FL 33030-7264

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