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REVAMED CLEWISTON
NPI 1811789696
Clinic/Center - Rural Health in Clewiston, FL

Active since May 19, 2025
406 S DEANE DUFF AVE, CLEWISTON, FL 33440(863) 983-5453 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revamed Clewiston NPPES

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

REVAMED CLEWISTON (NPI 1811789696) is a healthcare organization registered as a rural health in Clewiston, Florida and active in the NPI registry since May 2025. The organization lists Nathalie Bastien-montpeirous, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1811789696
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameREVAMED CLEWISTON
Location Address406 S DEANE DUFF AVEClewiston, FL 33440-3818
Mailing Address406 S Deane Duff AveClewiston, FL 33440-3818 · (863) 983-5453
Phone(863) 983-5453
Organization SubpartNo
Authorized OfficialNathalie Bastien-montpeirousMedical Director · (863) 983-5453
Enumeration DateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1811789696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
406 S DEANE DUFF AVE, Clewiston, FL 33440
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Other Identifiers 2

Other1598062630Npi
Medicaid013400900FL

Other Providers at the Same Location NPPES 3

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

A KARIM KAKI
Internal Medicine
406 S DEANE DUFF AVE
CLEWISTON, FL 33440
Hendry County (863) 983-5453
MRS. AMANDA MICHELLE PACHECO ARNP FNP-C
Nurse Practitioner (Family)
406 S DEANE DUFF AVE
CLEWISTON, FL 33440
Hendry County (863) 983-5453
DR. A K KAKI MD
Internal Medicine
406 S DEANE DUFF AVE
CLEWISTON, FL 33440
Hendry County (863) 983-5453

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 Revamed Clewiston's NPI number?

The NPI number for Revamed Clewiston is 1811789696. It was assigned to this organization in the NPPES registry on May 19, 2025.

Where is Revamed Clewiston located?

Revamed Clewiston is located at 406 S Deane Duff Ave, Clewiston, FL 33440. The listed phone number is (863) 983-5453.

What is Revamed Clewiston's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Revamed Clewiston was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.