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REVIVALIFE HEALTH PLLC
NPI 1255130621
Nurse Practitioner - Family in Deland, FL

Active since March 10, 2025
100 E NEW YORK AVE STE 103, DELAND, FL 32724(407) 901-7215 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2026, Mar 10, 2025 (2 updates tracked since 2025).

About Revivalife Health Pllc NPPES

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

REVIVALIFE HEALTH PLLC (NPI 1255130621) is a healthcare organization registered as a family in Deland, Florida and active in the NPI registry since March 2025. The organization lists Emily Hidalgo, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1255130621
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVIVALIFE HEALTH PLLC
Location Address100 E NEW YORK AVE STE 103Deland, FL 32724-5576
Mailing Address100 E. New York Ave Ste 103, #1011Deland, FL 32724-5576 · (407) 801-1065 · Fax (407) 801-1065
Phone(407) 901-7215
Organization SubpartNo
Authorized OfficialEmily HidalgoManaging Member · (407) 801-1065
Enumeration DateMarch 10, 2025
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1255130621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
100 E NEW YORK AVE STE 103, Deland, FL 32724
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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.

MAYDELIN JIMENEZ
Counselor (Mental Health)
100 E NEW YORK AVE STE 103
DELAND, FL 32724
Volusia County (786) 587-6479

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 Revivalife Health PLLC's NPI number?

The NPI number for Revivalife Health PLLC is 1255130621. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Revivalife Health PLLC located?

Revivalife Health PLLC is located at 100 E New York Ave Ste 103, Deland, FL 32724. The listed phone number is (407) 901-7215.

What is Revivalife Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Revivalife Health PLLC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.