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REVOLUTIONARY CARE CLINIC LLC
NPI 1457088437
Family Medicine in Delray Beach, FL

Active since August 01, 2022
1690 S CONGRESS AVE STE 205B, DELRAY BEACH, FL 33445(833) 854-3131(888) 979-8674 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2023, Aug 1, 2022 (2 updates tracked since 2022).

About Revolutionary Care Clinic Llc NPPES

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

REVOLUTIONARY CARE CLINIC LLC (NPI 1457088437) is a healthcare organization registered as a family medicine in Delray Beach, Florida and active in the NPI registry since August 2022. The organization lists Jonathan Cordero, Owner, as its authorized official.

NPPES Registry Identity

NPI1457088437
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVOLUTIONARY CARE CLINIC LLC
Location Address1690 S CONGRESS AVE STE 205BDelray Beach, FL 33445-6327
Mailing Address1690 S Congress Ave Ste 205bDelray Beach, FL 33445-6327 · (833) 854-3131 · Fax (888) 979-8674
Phone(833) 854-3131
Fax(888) 979-8674
Organization SubpartNo
Authorized OfficialJonathan CorderoOwner · (833) 854-3131
Enumeration DateAugust 1, 2022
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1457088437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1690 S CONGRESS AVE STE 205B, Delray Beach, FL 33445
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Other Providers at the Same Location NPPES

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

MARSHALL BRUCE SILK D.O.
Emergency Medicine
1690 S CONGRESS AVE STE 205B
DELRAY BEACH, FL 33445
Palm Beach County (561) 459-7300

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 Care Clinic LLC's NPI number?

The NPI number for Revolutionary Care Clinic LLC is 1457088437. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Revolutionary Care Clinic LLC located?

Revolutionary Care Clinic LLC is located at 1690 S Congress Ave Ste 205B, Delray Beach, FL 33445. The listed phone number is (833) 854-3131.

What is Revolutionary Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Revolutionary Care Clinic LLC was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.