Revolutionary Health

LBN: Revolutionary Health
Revolutionary Health is an health care organization with primary practice located at 3175 S Congress Ave Ste 203 , Palm Springs FL 33461-2562. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Revolutionary Health can be contacted via phone (561) 328-7527, or through Jestine, Wikenson via phone (561) 713-4819.

Contact Information

Primary practice address
3175 S Congress Ave Ste 203 Palm Springs FL 33461-2562
Phone: (561) 328-7527
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jestine, Wikenson
Phone: (561) 713-4819

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1053930107
LBN Legal business name Revolutionary Health
DBA Doing business as
Authorized official Jestine, Wikenson
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2020
Last updated Apr 9th, 2020 - about 4 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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