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Organization

REVITALIZE CLINICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERTO PERDOMO (OWNER)
(305) 215-2999
Entity
Organization

Contact information

Practice address
860 NW 42ND AVE STE 406, MIAMI, FL 33126-4176
(786) 636-8084
Mailing address
860 NW 42ND AVE STE 406, MIAMI, FL 33126-4176
(786) 636-8084

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/24/2025
Last updated
04/24/2025
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