Organization
REVITA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO FERREIRA (MANAGER)
(786) 339-8248
Entity
Organization
Contact information
Practice address
724 S KROME AVE, HOMESTEAD, FL 33030-7264
(786) 922-6393
Mailing address
724 S KROME AVE, HOMESTEAD, FL 33030-7264
(786) 339-8248
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
11/24/2025
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