Revamed Healthcare Partners LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REVAMED HEALTHCARE PARTNERS LLC

Practice address

7000 W Palmetto Park Rd Ste 201
Boca Raton, FL 33433-3430

Phone

(561) 708-1760

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Stieler

Title

Credentialer

Phone

(561) 432-2164

Specialties & licenses 2

Addresses

Tax ID family

Revamed Healthcare Partners LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Revamed Healthcare Partners LLC

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1720751142
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1578236980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 OKEECHOBEE BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112000",
            "telephone_number": "561-290-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333430",
            "telephone_number": "561-708-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAMED HEALTHCARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "STIELER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "561-432-2164"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Caregivers, Inc
• Restore Pelvic Health & Rehab LLC
• Carlos Andres Restrepo, L.AC
• Isabel Restrepo I
• Revamed Center for Emotional Wellbeing, LLC
• Inna Revich
• Revival Health Services LLC
• Revival Therapy LLC
• Revive Counseling LLC
• Revive Family Chiropractic LLC

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.