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REVAMP HEALTH AGENCY LLC
NPI 1104564962
Registered Nurse in Miami, FL

Active since May 23, 2022
5781 SW 137TH AVE, MIAMI, FL 33183(305) 603-9196 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revamp Health Agency Llc NPPES

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

REVAMP HEALTH AGENCY LLC (NPI 1104564962) is a healthcare organization registered as a registered nurse in Miami, Florida and active in the NPI registry since May 2022. The organization lists Jeannette Pena, Owner, as its authorized official.

NPPES Registry Identity

NPI1104564962
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NameREVAMP HEALTH AGENCY LLC
Location Address5781 SW 137TH AVEMiami, FL 33183-1103
Mailing Address10144 Sw 141st CtMiami, FL 33186-6807
Phone(305) 603-9196
Organization SubpartNo
Authorized OfficialJeannette PenaOwner · (786) 501-0206
Enumeration DateMay 23, 2022
NPPES CertifiedMay 23, 2022
✔ NPI 1104564962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
5781 SW 137TH AVE, Miami, FL 33183
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Other Names 1

Other NameRevamp Health Medspa

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

Other Providers at the Same Location NPPES

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

JEANNETTE PENA
Nurse Practitioner (Acute Care)
5781 SW 137TH AVE
MIAMI, FL 33183
Miami-Dade County (786) 501-0206

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 Revamp Health Agency LLC's NPI number?

The NPI number for Revamp Health Agency LLC is 1104564962. It was assigned to this organization in the NPPES registry on May 23, 2022. The provider is also known as Revamp Health Medspa.

Where is Revamp Health Agency LLC located?

Revamp Health Agency LLC is located at 5781 SW 137th Ave, Miami, FL 33183. The listed phone number is (305) 603-9196.

What is Revamp Health Agency LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Revamp Health Agency LLC was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.