Revelation Family Medicine Office, Llc.

LBN: Revelation Family Medicine Office, Llc.
Revelation Family Medicine Office, Llc. is an health care organization with primary practice located at 3939 Hollywood Blvd Ste 300B , Hollywood FL 33021-6749. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Revelation Family Medicine Office, Llc. can be contacted via phone (786) 863-8633, or through Forte, Jean-Marcel via phone (305) 807-4283.

Contact Information

Primary practice address
3939 Hollywood Blvd Ste 300B Hollywood FL 33021-6749
Fax:
Website:
Authorized official contact:
Name: Forte, Jean-Marcel Physician's Assistant Certified (PA-C)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1912472200
LBN Legal business name Revelation Family Medicine Office, Llc.
DBA Doing business as
Authorized official Forte, Jean-Marcel Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2018
Last updated Oct 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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