Organization · Type 2 NPI

Revital Medical Health Group LLC

General Practice Physician · North Miami Beach, FL

NPI number 1679887053 Active

Practice location

17064 W Dixie Hwy
North Miami Beach, FL 33160-3723

Call (305) 949-4964 Map

Fax (305) 948-6519

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XME 41852 (FL)

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 1679887053

Revital Medical Health Group LLC's National Provider Identifier is 1679887053, issued on Jul 28, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in North Miami Beach, FL. The record was last updated on Sep 11, 2013.