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

Revolutionary Health

Organization Multi-Specialty Clinic/Center · NPI 1053930107

Revolutionary Health is a Multi-Specialty Clinic/Center in Palm Springs, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3175 S Congress Ave Ste 203
Palm Springs, FL 33461-2562
Phone: (561) 328-7527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1053930107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wikenson Jestine — Manager · (561) 713-4819
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address3175 S Congress Ave Ste 203, Palm Springs, FL 33461-2562