Organization
REVITALIZE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIADNA DORTA (PRESIDENT)
(786) 636-8084
Entity
Organization
Contact information
Practice address
850 NW 42ND AVE STE 300, MIAMI, FL 33126-4168
(786) 636-8084
Mailing address
850 NW 42ND AVE STE 300, MIAMI, FL 33126-4168
(786) 636-8084
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
04/25/2025
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