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

Revitalize Medical Center Palmetto Bay, LLC

Organization General Practice Physician · NPI 1437942992

Revitalize Medical Center Palmetto Bay, LLC is a General Practice Physician in Palmetto Bay, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

9245 SW 158th Ln Unit 201-202
Palmetto Bay, FL 33157-1804
Phone: (786) 701-9639
Fax: (786) 713-0179
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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 number1437942992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dayana Revuelta — Manager · (786) 701-9639
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address9245 Sw 158th Ln Unit 201-202, Palmetto Bay, FL 33157-1804

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