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

Revitalize Medical & Aesthetic Wellness Center LLC

Organization Family Nurse Practitioner · NPI 1457203150

Revitalize Medical & Aesthetic Wellness Center LLC is a Family Nurse Practitioner in Kissimmee, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

809 E Oak St Ste 106107
Kissimmee, FL 34744-5834
Phone: (407) 201-3977
Fax: (321) 340-3496
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1457203150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Perez Vasquez — Managing Member · (407) 201-3977
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address809 E Oak St Ste 106107, Kissimmee, FL 34744-5834

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