Organization Active NPI

Revitalize Care of Central Florida

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1609371350
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REVITALIZE CARE OF CENTRAL FLORIDA
Practice address
737 N Apopka Vineland Rd
Orlando, FL 32818-6566
Phone
(407) 271-9510
NPI assigned
Mar 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Dr. Sunil Jadonath, MDNPI 1932354263
Title
MD
Phone
(407) 271-9510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

737 N Apopka Vineland Rd
Orlando, FL 32818-6566

Mailing address

1291 Arden Oaks Dr
Ocoee, FL 34761-8428
Phone (407) 271-9510

National Provider Directory

National Provider Directory

Locations

737 N Apopka Vineland Rd
Orlando, FL 32818
Phone (407) 271-9510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1609371350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 ARDEN OAKS DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618428",
            "telephone_number": "407-271-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186566",
            "telephone_number": "407-271-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE CARE OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "JADONATH",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "407-271-9510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.