REVOLUTIONARY HEALTH – Multi-Specialty Clinic/Center, NPI 1053930107

REVOLUTIONARY HEALTH is a healthcare provider. based in Palm springs, Florida. specializing in Multi-Specialty Clinic/Center. The NPI Number for REVOLUTIONARY HEALTH is 1053930107

Main info

Organization
Name
REVOLUTIONARY HEALTH
NPI
1053930107
Phone
(561) 328-7527
Address
3175 S CONGRESS AVE STE 203
Authorized Official
WIKENSON JESTINE MANAGER
Enumeration Date
9 April 2020
Last Update Date
9 April 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for REVOLUTIONARY HEALTH

  • 3175 S CONGRESS AVE STE 203

    PALM SPRINGS, FL 334612562

    Phone: (561) 328-7527

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33461)

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Frequently asked questions

What is REVOLUTIONARY HEALTH's NPI number?
REVOLUTIONARY HEALTH's NPI is 1053930107 — the number used across U.S. healthcare to identify this provider.
Is REVOLUTIONARY HEALTH still an active registrant?
REVOLUTIONARY HEALTH carries an active NPI according to the public dataset.
What kind of doctor is REVOLUTIONARY HEALTH?
REVOLUTIONARY HEALTH is associated with Multi-Specialty Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Is REVOLUTIONARY HEALTH associated with Palm Springs?
Public fields place REVOLUTIONARY HEALTH around Palm Springs, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for REVOLUTIONARY HEALTH is noted as April 9, 2020 where the registry provides it.

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