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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