OrganizationActive
Revivecare Medical & Wellness LLC
NPI 1659147486 · Clinic/Center · Orlando, FL
Provider details
- NPI number
- 1659147486
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tima Doron, Arnp(407) 300-8768
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2925 E South St
Orlando, FL 32803-6459
Phone: (321) 209-2203
Fax: (888) 344-9692
Street-level locationGet directions
Mailing address
1534 Birchwood Ave
Kissimmee, FL 34744-4015
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.