Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revival Health Services LLC

Organization Family Medicine Physician · NPI 1669165197

Revival Health Services LLC provides Family Medicine Physician services in Boca Raton, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

21065 Powerline Rd Ste 35
Boca Raton, FL 33433-2313
Phone: (561) 484-2947
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1669165197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camila Mendez — Director Of Operations · (646) 921-0872
NPI enumeratedMay 31, 2023
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address20980 Cipres Way, Boca Raton, FL 33433-1604

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