Organization
REVITALIZE MEDICAL CENTER PALMETTO BAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYANA REVUELTA (MANAGER)
(786) 701-9639
Entity
Organization
Contact information
Practice address
9245 SW 158TH LN UNIT 201-202, PALMETTO BAY, FL 33157-1804
(786) 701-9639
(786) 713-0179
Mailing address
9245 SW 158TH LN UNIT 201-202, PALMETTO BAY, FL 33157-1804
(786) 701-9639
(786) 713-0179
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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