Revitalize LLC
Revitalize LLC is a Family Medicine Physician in Rockville, Maryland. Licensed in Maryland. Registered with an NPI since 2011.
- Licensed in
- MD
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15235 Shady Grove Rd Ste 102Rockville, MD 20850-3234
Phone: (301) 330-9430
Fax: (301) 330-6515
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence D0050126 (MD) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence H67624 (MD) |
Record details
| NPI number | 1417238015 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Norton Fishman — Medical Director · (301) 330-9430 |
| Other names | Optimal Health Physicians |
| NPI enumerated | September 9, 2011 |
| Last updated in NPPES | October 24, 2011 |
| Mailing address | 15235 Shady Grove Rd, Suite 102, Rockville, MD 20850-3234 |
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