REVITAL MEDICAL HEALTH GROUP LLC – General Practice Physician, NPI 1679887053

REVITAL MEDICAL HEALTH GROUP LLC is a healthcare provider. based in North miami beach, Florida. specializing in General Practice Physician. The organization holds a License No. ME 41852 (FL). The NPI Number for REVITAL MEDICAL HEALTH GROUP LLC is 1679887053

Main info

Organization
Name
REVITAL MEDICAL HEALTH GROUP LLC
NPI
1679887053
Phone
(305) 949-4964
Address
17064 W DIXIE HWY
Authorized Official
DR. PIERRE A. GASTON PRESIDENT M.D.
Enumeration Date
28 July 2010
Last Update Date
11 September 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for REVITAL MEDICAL HEALTH GROUP LLC

  • 17064 W DIXIE HWY

    NORTH MIAMI BEACH, FL 331603723

    Phone: (305) 949-4964

    Fax: (305) 948-6519

    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

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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 33160)

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Reviews

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Frequently asked questions

Can I use this page to confirm REVITAL MEDICAL HEALTH GROUP LLC's NPI?
Yes. REVITAL MEDICAL HEALTH GROUP LLC is listed with NPI 1679887053 in the public NPI dataset.
Is REVITAL MEDICAL HEALTH GROUP LLC listed as active for patients and plans?
The listing shows REVITAL MEDICAL HEALTH GROUP LLC as active in the NPI system.
What is REVITAL MEDICAL HEALTH GROUP LLC's primary classification?
General Practice Physician is the headline specialty for REVITAL MEDICAL HEALTH GROUP LLC here. Clinical services aligned with this taxonomy classification.
What area does REVITAL MEDICAL HEALTH GROUP LLC serve?
REVITAL MEDICAL HEALTH GROUP LLC's listing highlights North Miami Beach, Florida; more addresses can appear in NPPES.
Why does REVITAL MEDICAL HEALTH GROUP LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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