# REVITALIZE HEALTH CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Revitalize Health Care Center of Fort Myers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689467136
- **Authorized official:** MEIVYS E AVILA CASTRO (MANAGER)
- **Authorized official phone:** (239) 291-6633

## Contact information

- **Practice address:** 5285 SUMMERLIN RD STE 101, FORT MYERS, FL 33919-7601
- **Practice address phone:** (239) 291-6633
- **Practice address fax:** (239) 385-0644
- **Mailing address:** 5285 SUMMERLIN RD STE 101, FORT MYERS, FL 33919-7601
- **Mailing address phone:** (239) 291-6633
- **Mailing address fax:** (239) 385-0644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2025
- **Last updated:** 08/29/2025