REVITALIZE HEALTH CENTER LLC
NPI 1689467136
General Practice in Fort Myers, FL

Active since May 27, 2025
5285 SUMMERLIN RD STE 101, FORT MYERS, FL 33919(239) 291-6633(239) 385-0644 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revitalize Health Center Llc NPPES

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

REVITALIZE HEALTH CENTER LLC (NPI 1689467136), doing business as Revitalize Health Care Center Of Fort Myers, is a healthcare organization registered as a general practice in Fort Myers, Florida and active in the NPI registry since May 2025. The organization lists Meivys E Avila Castro, Manager, as its authorized official.

NPPES Registry Identity

NPI1689467136
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREVITALIZE HEALTH CENTER LLC
Location Address5285 SUMMERLIN RD STE 101Fort Myers, FL 33919-7601
Mailing Address5285 Summerlin Rd Ste 101Fort Myers, FL 33919-7601 · (239) 291-6633 · Fax (239) 385-0644
Fax(239) 385-0644
Organization SubpartNo
Authorized OfficialMeivys E Avila CastroManager · (239) 291-6633
Enumeration DateMay 27, 2025
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
NPI 1689467136 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
5285 SUMMERLIN RD STE 101, Fort Myers, FL 33919

Other Names 1

Doing Business AsRevitalize Health Care Center Of Fort Myers

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 4

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

Internal Medicine
5285 SUMMERLIN RD STE 101
FORT MYERS, FL 33919
General Practice
5285 SUMMERLIN RD STE 101
FORT MYERS, FL 33919
Dietitian, Registered
5285 SUMMERLIN RD STE 101
FORT MYERS, FL 33919
Physical Therapist
5285 SUMMERLIN RD STE 101
FORT MYERS, FL 33919

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 Revitalize Health Center LLC's NPI number?

The NPI number for Revitalize Health Center LLC is 1689467136. It was assigned to this organization in the NPPES registry on May 27, 2025. The provider is doing business as Revitalize Health Care Center of Fort Myers.

Where is Revitalize Health Center LLC located?

Revitalize Health Center LLC is located at 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919. The listed phone number is (239) 291-6633.

What is Revitalize Health Center 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 Revitalize Health Center LLC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.