Revolutionary Care Clinic Llc

LBN: Revolutionary Care Clinic Llc
Revolutionary Care Clinic Llc is an health care organization with primary practice located at 1690 S Congress Ave Ste 205B , Delray Beach FL 33445-6327. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Revolutionary Care Clinic Llc can be contacted via phone (833) 854-3131, or through Cordero, Jonathan via phone (833) 854-3131.

Contact Information

Primary practice address
1690 S Congress Ave Ste 205B Delray Beach FL 33445-6327
Phone: (833) 854-3131
Fax: (888) 979-8674
Website:
Map and Directions
Authorized official contact:
Name: Cordero, Jonathan
Phone: (833) 854-3131

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1457088437
LBN Legal business name Revolutionary Care Clinic Llc
DBA Doing business as
Authorized official Cordero, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2022
Last updated Aug 1st, 2023 - about 3 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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