Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revital Medical Health Group, LLC

Organization General Practice Physician · NPI 1215362769

Revital Medical Health Group, LLC provides General Practice Physician services in North Miami Beach, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17064 W Dixie Hwy
North Miami Beach, FL 33160-3723 Not confirmed with CMS for 13 years — call before visiting
Phone: (305) 949-4964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1215362769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mily Hernandez — Manager · (305) 748-9310
NPI enumeratedSeptember 3, 2013
Last updated in NPPESSeptember 3, 2013
Mailing address17064 W Dixie Hwy, North Miami Beach, FL 33160-3723

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