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Revital Medical Health Group LLC

General Practice Physician in N Miami Beach, FL · enumerated 2010 · authorized official Pierre Gaston, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679887053

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Registry record

Entity type Organization (Type 2)
Legal business name Revital Medical Health Group LLC
Practice address 17064 W Dixie Hwy, N Miami Beach, FL, 33160
Phone (305) 949-4964
Fax (305) 948-6519
Enumeration date Jul 28, 2010
Last updated in NPPES Sep 11, 2013

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License ME 41852 (FL) Primary

Authorized official

Name Pierre Gaston
Title President
Phone (305) 949-4964

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-09-11. Verify at npiregistry.cms.hhs.gov.
Where is Revital Medical Health Group LLC located?
The practice location on file with NPPES is in N Miami Beach, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-11.