Revita Medical Center Llc | |
724 S Krome Ave Homestead FL 33030-7264 | |
(786) 922-6393 | |
Not Available |
Full Name | Revita Medical Center Llc |
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Speciality | Family Medicine - Adult Medicine |
Location | 724 S Krome Ave, Homestead, Florida |
Authorized Official Name and Position | Alfredo Portal Garcia (OWNER) |
Authorized Official Contact | 7869226393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Revita Medical Center Llc 724 S Krome Ave Homestead FL 33030-7264 Ph: (786) 922-6393 | Revita Medical Center Llc 724 S Krome Ave Homestead FL 33030-7264 Ph: (786) 922-6393 |
NPI Number | 1811723869 |
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Provider Enumeration Date | 09/09/2024 |
Last Update Date | 09/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811723869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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