Organization · Type 2 NPI
Revitalize Medical Center Palmetto Bay, LLC
General Practice Physician · Palmetto Bay, FL
NPI number
1437942992
Active
Practice location
9245 SW 158th Ln Unit 201-202
Palmetto Bay, FL 33157-1804
Fax (786) 713-0179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1437942992
Revitalize Medical Center Palmetto Bay, LLC's National Provider Identifier is 1437942992, issued on May 27, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Palmetto Bay, FL. The record was last updated on May 27, 2025.