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

Revitalize Clinics Inc

Organization General Practice Physician · NPI 1215724067

Revitalize Clinics Inc is a General Practice Physician in Miami, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

860 NW 42nd Ave Ste 406
Miami, FL 33126-4176
Phone: (786) 636-8084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1215724067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Perdomo — Owner · (305) 215-2999
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address860 Nw 42nd Ave Ste 406, Miami, FL 33126-4176

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