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

Revival Health Services LLC

Organization Family Medicine Physician · NPI 1669165197

Revival Health Services LLC is a Family Medicine Physician in Boca Raton, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

21065 Powerline Rd Ste 35
Boca Raton, FL 33433-2313
Phone: (561) 484-2947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1669165197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camila Mendez — Director Of Operations · (646) 921-0872
NPI enumeratedMay 31, 2023
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address20980 Cipres Way, Boca Raton, FL 33433-1604

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