OrganizationActive
Revital Medical Health Group LLC
NPI 1679887053 · General Practice Physician · N Miami Beach, FL
Provider details
- NPI number
- 1679887053
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pierre Gaston, President(305) 949-4964
- License
- ME 41852 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
17064 W Dixie Hwy
N Miami Beach, FL 33160-3723
Phone: (305) 949-4964
Fax: (305) 948-6519
Street-level locationGet directions
Mailing address
17064 W Dixie Hwy
North Miami Beach, FL 33160-3723
Registry dates
- Enumerated
- 2010-07-28
- Last updated
- 2013-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.