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Organization
REVOLUTIONARY CARE CLINIC LLC
Active
Organization
REVOLUTIONARY CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN CORDERO (OWNER)
(833) 854-3131
Entity
Organization
Contact information
Practice address
1690 S CONGRESS AVE STE 205B, DELRAY BEACH, FL 33445-6327
(833) 854-3131
(888) 979-8674
Mailing address
1690 S CONGRESS AVE STE 205B, DELRAY BEACH, FL 33445-6327
(833) 854-3131
(888) 979-8674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2023
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