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Organization
REVITALIZE HEALTH CENTER LLC
Active
Organization
REVITALIZE HEALTH CENTER LLC
Active
Other names
Revitalize Health Care Center of Fort Myers
Organization subpart
No
Provider details
NPI number
Authorized official
MEIVYS E AVILA CASTRO (MANAGER)
(239) 291-6633
Entity
Organization
Contact information
Practice address
5285 SUMMERLIN RD STE 101, FORT MYERS, FL 33919-7601
(239) 291-6633
(239) 385-0644
Mailing address
5285 SUMMERLIN RD STE 101, FORT MYERS, FL 33919-7601
(239) 291-6633
(239) 385-0644
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
08/29/2025
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