REVITAL MEDICAL HEALTH GROUP, LLC (NPI# 1215362769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215362769 |
| Entity Type | Organization |
| Organization Name | REVITAL MEDICAL HEALTH GROUP, LLC |
| Practice Address |
17064 W Dixie Hwy North Miami Beach FL 33160-3723 |
| Practice Telephone | 3059494964 |
| Mailing Telephone | 3059494964 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | MILY HERNANDEZ (MANAGER) |
| Authorized Official Telephone | 3057489310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
17064 W DIXIE HWY |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33160-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1184182826 | Amazing Births, South, Inc | Doula | 17184 W. Dixie Highway, North Miami Beach, FL 33160 | 2019-03-12 |
| 1275026338 | Sunny Medical Miami, LLC | Clinic/Center | 17070 Collins Ave Ste T-257, Sunny Isles Beach, FL 33160 | 2018-06-12 |
| 1366930430 | Julieta Soledad Alvarez | Nurse Anesthetist, Certified Registered | 17500 N Bay Rd Apt 808, Sunny Isles Beach, FL 33160 | 2018-04-24 |
| 1104346105 | Andrea Romina Schneider | Developmental Therapist | 3300 Ne 191st. Apt 418, Aventura, FL 33160 | 2017-06-21 |
| 1154793792 | Galina Nosovitsky | Physical Therapy Assistant | 2265 Ne164 Street, North Miami Beach, FL 33160 | 2015-10-22 |
| 1336515451 | Universal Medical Group of North Miami Beach Inc | Clinic/Center | 17064 West Dixie Highway, Suite 17064/17068, North Miami Beach, FL 33160 | 2015-08-12 |
| 1861814345 | Stella Bunich | Occupational Therapist | 251 174th St, Apt 404, Sunny Isles, FL 33160 | 2014-01-17 |
| 1417386517 | Marcos Enmanuel Munoz | Physical Therapist | 18001 Collins Ave, 2nd Floor, Spa, Sunny Isles Beach, FL 33160 | 2013-11-08 |
| 1730520180 | Steve M Friedman Dc LLC | Chiropractor | 2250 Ne 163rd Street Suite 4, North Miami Beach, FL 33160 | 2013-07-15 |
| Find all providers in zip 33160 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1679045181 | Urgent Care Online Inc | General Practice | 16880 Ne 19th Ave, North Miami Beach, FL 33162-3108 | 2018-12-21 |
| 1578844106 | Access Medical Group of North Miami Beach Inc | General Practice | 743 Ne 167th St, North Miami Beach, FL 33162-4931 | 2011-09-09 |
| 1396903670 | Robert Ben Mitchell | General Practice | 16375 Ne 18th Ave, Suite 310, North Miami Beach, FL 33162-4753 | 2008-05-23 |
| 1598868903 | Vicente A Rodriguez | General Practice | 1 Ne 167th St, North Miami Beach, FL 33162-3402 | 2006-09-07 |
| 1649265745 | Yukhanan Benjamin | General Practice | 909 N Miami Beach Blvd, Suite 101, North Miami Beach, FL 33162-3712 | 2005-09-14 |
| 1992311286 | Jwh North Miami I, LLC | General Practice | 3435 Ne 163rd St, North Miami Beach, FL 33160-4426 | 2020-09-22 |
| 1437551884 | Ronel Desrosiers | General Practice | 150 Nw 168th St, North Miami Beach, FL 33169-6045 | 2014-09-17 |
| 1205875291 | Alice W Hernandez-bem | General Practice | 1701 Ne 164th St, North Miami Beach, FL 33162-4018 | 2006-06-05 |
| 1578512935 | Henry Lora | General Practice | 951 Ne 167th St, Suite 102, North Miami Beach, FL 33162-3711 | 2006-05-10 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33160 |
Please comment or provide details below to improve the information on REVITAL MEDICAL HEALTH GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.