Organization
REVIVAL MED CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA ALBA PEREZ (OWNER)
(561) 886-8459
Entity
Organization
Contact information
Practice address
8353 SW 124TH ST STE 207A, MIAMI, FL 33156-5847
(786) 443-5833
Mailing address
8353 SW 124TH ST STE 207A, MIAMI, FL 33156-5847
(786) 443-5833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
07/15/2025
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