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

Revital Medical Health Group LLC

Organization General Practice Physician · NPI 1679887053

Revital Medical Health Group LLC is a General Practice Physician in N Miami Beach, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

17064 W Dixie Hwy
N Miami Beach, FL 33160-3723
Phone: (305) 949-4964
Fax: (305) 948-6519
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME 41852 (FL)

Record details

NPI number1679887053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pierre Gaston — President · (305) 949-4964
NPI enumeratedJuly 28, 2010
Last updated in NPPESSeptember 11, 2013
Mailing address17064 W Dixie Hwy, North Miami Beach, FL 33160-3723

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