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REVELATION FAMILY MEDICINE OFFICE, LLC.
NPI 1912472200
Family Medicine - Adult Medicine in Hollywood, FL

Active since October 12, 2018
3939 HOLLYWOOD BLVD STE 300B, HOLLYWOOD, FL 33021(786) 863-8633 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Revelation Family Medicine Office, Llc. NPPES

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

REVELATION FAMILY MEDICINE OFFICE, LLC. (NPI 1912472200) is a healthcare organization registered as an adult medicine in Hollywood, Florida and active in the NPI registry since October 2018. The organization lists Jean-marcel Forte, Certified Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1912472200
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameREVELATION FAMILY MEDICINE OFFICE, LLC.
Location Address3939 HOLLYWOOD BLVD STE 300BHollywood, FL 33021-6749
Mailing Address3939 Hollywood Blvd Ste 300bHollywood, FL 33021-6749 · (786) 863-8633
Phone(786) 863-8633
Organization SubpartNo
Authorized OfficialJean-marcel ForteCertified Physician Assistant · (305) 807-4283
Enumeration DateOctober 12, 2018
✔ NPI 1912472200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
3939 HOLLYWOOD BLVD STE 300B, Hollywood, FL 33021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Revelation Family Medicine Office, LLC.'s NPI number?

The NPI number for Revelation Family Medicine Office, LLC. is 1912472200. It was assigned to this organization in the NPPES registry on October 12, 2018.

Where is Revelation Family Medicine Office, LLC. located?

Revelation Family Medicine Office, LLC. is located at 3939 Hollywood Blvd Ste 300B, Hollywood, FL 33021. The listed phone number is (786) 863-8633.

What is Revelation Family Medicine Office, LLC.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Revelation Family Medicine Office, LLC. was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.