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Organization
REVITALIZE MEDICAL & AESTHETIC WELLNESS CENTER LLC
Active
Organization
REVITALIZE MEDICAL & AESTHETIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ALEJANDRA PEREZ VASQUEZ APRN (MANAGING MEMBER)
(407) 201-3977
Entity
Organization
Contact information
Practice address
809 E OAK ST STE 106107, KISSIMMEE, FL 34744-5834
(407) 201-3977
(321) 340-3496
Mailing address
809 E OAK ST STE 106107, KISSIMMEE, FL 34744-5834
(407) 201-3977
(321) 340-3496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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