REVAMED HEALTHCARE PARTNERS LLC
NPI 1043780067
Internal Medicine in Greenacres, FL

Active since December 03, 2018CLIA Certified · 2 labs
3084 S JOG RD, GREENACRES, FL 33467(561) 708-1760 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2021, Dec 3, 2018 (2 updates tracked since 2018).

About Revamed Healthcare Partners Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVAMED HEALTHCARE PARTNERS LLC (NPI 1043780067) is a healthcare organization registered as an internal medicine in Greenacres, Florida and active in the NPI registry since December 2018. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Melissa Stieler, Practice Operations Specialist, as its authorized official.

NPPES Registry Identity

NPI1043780067
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREVAMED HEALTHCARE PARTNERS LLC
Location Address3084 S JOG RDGreenacres, FL 33467-2053
Mailing Address8132 Okeechobee Blvd Ste BWest Palm Beach, FL 33411-2000 · (561) 290-1181
Organization SubpartNo
Authorized OfficialMelissa StielerPractice Operations Specialist · (561) 432-2164
Enumeration DateDecember 3, 2018
Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
NPI 1043780067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3084 S JOG RD, Greenacres, FL 33467

Secondary Practice Locations 2

Location 16056 Boynton Beach Blvd Ste 115Boynton Beach, FL 33437-3500 · Phone (561) 708-1760
Location 27000 W Palmetto Park Rd Ste 201Boca Raton, FL 33433-3430 · Phone (561) 708-1760

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2176655

Revamed Healthcare Partners, LLC · Greenacres, FL
Active · expires Dec 18, 2027
CLIA Number10D2176655
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorNathalie Bastien-Montpeirous
Laboratory Phone(561) 708-1760
Laboratory LocationRevamed Healthcare Partners, LLC3084 S Jog Road, Greenacres, FL 33467
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1096240

Revamed Healthcare Partners, LLC · Boca Raton, FL
Active · expires Sep 19, 2027
CLIA Number10D1096240
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorNathalie Bastien-Montpeirous
Laboratory Phone(561) 708-1760
Laboratory LocationRevamed Healthcare Partners, LLC7301 W Palmetto Park Rd Suite 101A, Boca Raton, FL 33433
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2115487

Revamed Healthcare Partners, LLC · Boynton Beach, FL
Expired · Jul 7, 2026
CLIA Number10D2115487
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2024
Certificate Expiration DateJuly 7, 2026
Laboratory DirectorNathalie Bastien Montpeirous
Laboratory Phone(561) 708-1760
Laboratory LocationRevamed Healthcare Partners, LLC6056 Boynton Beach Blvd, Suite 115, Boynton Beach, FL 33437
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3084 S JOG RD
GREENACRES, FL 33467
Nurse Practitioner (Family)
3084 S JOG RD
GREENACRES, FL 33467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revamed Healthcare Partners LLC's NPI number?

The NPI number for Revamed Healthcare Partners LLC is 1043780067. It was assigned to this organization in the NPPES registry on December 3, 2018.

Where is Revamed Healthcare Partners LLC located?

Revamed Healthcare Partners LLC is located at 3084 S Jog Rd, Greenacres, FL 33467. The listed phone number is (561) 708-1760.

What is Revamed Healthcare Partners LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Revamed Healthcare Partners LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Revamed Healthcare Partners LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Revamed Healthcare Partners LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revamed Healthcare Partners LLC was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.