REVITAL MEDICAL HEALTH GROUP, LLC
NPI 1215362769
General Practice in North Miami Beach, FL

Q: What is Revital Medical Health Group, LLC's NPI number?

The NPI number for Revital Medical Health Group, LLC is 1215362769. It was assigned to this organization in the NPPES registry on September 3, 2013.

Q: What is Revital Medical Health Group, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since September 03, 2013

17064 W DIXIE HWY, NORTH MIAMI BEACH, FL 33160(305) 949-4964 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Revital Medical Health Group, Llc NPPES

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

REVITAL MEDICAL HEALTH GROUP, LLC (NPI 1215362769) is a healthcare organization registered as a general practice in North Miami Beach, Florida and active in the NPI registry since September 2013. The organization lists Mily Hernandez, Manager, as its authorized official.

NPPES Registry Identity

NPI1215362769

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameREVITAL MEDICAL HEALTH GROUP, LLC

Location Address17064 W DIXIE HWYNorth Miami Beach, FL 33160-3723

Mailing Address17064 W Dixie HwyNorth Miami Beach, FL 33160-3723 · (305) 949-4964

Phone(305) 949-4964

Organization SubpartNo

Authorized OfficialMily HernandezManager · (305) 748-9310

Enumeration DateSeptember 3, 2013

✔ NPI 1215362769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

17064 W DIXIE HWY, North Miami Beach, FL 33160

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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.

REVITAL MEDICAL HEALTH GROUP LLC

General Practice

17064 W DIXIE HWY
N MIAMI BEACH, FL 33160

Miami-Dade County (305) 949-4964

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 Revital Medical Health Group, LLC's NPI number?

The NPI number for Revital Medical Health Group, LLC is 1215362769. It was assigned to this organization in the NPPES registry on September 3, 2013.

Where is Revital Medical Health Group, LLC located?

Revital Medical Health Group, LLC is located at 17064 W Dixie Hwy, North Miami Beach, FL 33160. The listed phone number is (305) 949-4964.

What is Revital Medical Health Group, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Revital Medical Health Group, LLC was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.