Organization · Type 2 NPI

Revitalize Health Center LLC

General Practice Physician · Fort Myers, FL

NPI number 1689467136 Active

Practice location

5285 Summerlin Rd Ste 101
Fort Myers, FL 33919-7601

Fax (239) 385-0644

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone 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.

4 other providers at this address

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About NPI 1689467136

Revitalize Health Center LLC's National Provider Identifier is 1689467136, issued on May 27, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 16, 2026.