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REVOLUTIONARY HEALTH
NPI 1053930107
Clinic/Center - Multi-Specialty in Palm Springs, FL

Active since April 09, 2020
3175 S CONGRESS AVE STE 203, PALM SPRINGS, FL 33461(561) 328-7527 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revolutionary Health NPPES

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

REVOLUTIONARY HEALTH (NPI 1053930107) is a healthcare organization registered as a multi-specialty in Palm Springs, Florida and active in the NPI registry since April 2020. The organization lists Wikenson Jestine, Manager, as its authorized official.

NPPES Registry Identity

NPI1053930107
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREVOLUTIONARY HEALTH
Location Address3175 S CONGRESS AVE STE 203Palm Springs, FL 33461-2562
Mailing Address3175 S Congress Ave Ste 203Palm Springs, FL 33461-2562
Phone(561) 328-7527
Organization SubpartNo
Authorized OfficialWikenson JestineManager · (561) 713-4819
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1053930107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3175 S CONGRESS AVE STE 203, Palm Springs, FL 33461
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Other Providers at the Same Location NPPES 13

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

CARLOS D VENTO RODRIGUEZ
Behavior Technician
3175 S CONGRESS AVE STE 203
PALM SPRINGS, FL 33461
Palm Beach County (561) 298-2399
MAIDEL SERRANO ARTEAGA
Behavior Technician
3175 S CONGRESS AVE STE 203
PALM SPRINGS, FL 33461
Palm Beach County (561) 298-2399
MRS. MIDELVIS SANTANA RBT
Behavior Technician
3175 S CONGRESS AVE STE 203
PALM SPRINGS, FL 33461
Palm Beach County (561) 298-2399
KENIA FRANCISCA MANSO HERNANDEZ
Behavior Analyst
3175 S CONGRESS AVE STE 203
PALM SPRINGS, FL 33461
Palm Beach County (561) 298-2399
DARLYS ACOSTA PEREZ
Behavior Technician
3175 S CONGRESS AVE STE 203
PALM SPRINGS, FL 33461
Palm Beach County (561) 298-2399
DAYNA YITZA ERAZO-AROCHO
Behavior Technician
3175 S CONGRESS AVE STE 203
PALM SPRINGS, FL 33461
Palm Beach County (561) 298-2399
BARBARA PEREZ
Behavior Technician
3175 S CONGRESS AVE STE 203
PALM SPRINGS, FL 33461
Palm Beach County (561) 298-2399
ANIA ALICIA FRESCO BALLADARES
Behavior Technician
3175 S CONGRESS AVE STE 203
PALM SPRINGS, FL 33461
Palm Beach County (561) 298-2399

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 Revolutionary Health's NPI number?

The NPI number for Revolutionary Health is 1053930107. It was assigned to this organization in the NPPES registry on April 9, 2020.

Where is Revolutionary Health located?

Revolutionary Health is located at 3175 S Congress Ave Ste 203, Palm Springs, FL 33461. The listed phone number is (561) 328-7527.

What is Revolutionary Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Revolutionary Health was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.