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

Revitalize Medical Center Palmetto Bay, LLC

Organization General Practice Physician · NPI 1437942992

Revitalize Medical Center Palmetto Bay, LLC provides General Practice Physician services in Palmetto Bay, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9245 SW 158th Ln Unit 201-202
Palmetto Bay, FL 33157-1804
Phone: (786) 701-9639
Fax: (786) 713-0179
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1437942992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dayana Revuelta — Manager · (786) 701-9639
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address9245 Sw 158th Ln Unit 201-202, Palmetto Bay, FL 33157-1804

Other providers in Palmetto Bay