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

Revivalife Health PLLC

Organization Family Nurse Practitioner · NPI 1255130621

Revivalife Health PLLC is a Family Nurse Practitioner in Deland, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E New York Ave Ste 103
Deland, FL 32724-5576
Phone: (407) 901-7215
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1255130621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Hidalgo — Managing Member · (407) 801-1065
NPI enumeratedMarch 10, 2025
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address100 E. New York Ave Ste 103, 1011, Deland, FL 32724-5576

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