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REVITALIZE MEDICAL CENTER NAPLES, LLC - Florida Company Profile

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Company Details

Entity Name: REVITALIZE MEDICAL CENTER NAPLES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Apr 2025 (4 months ago)
Document Number: L25000181202
FEI/EIN Number 334704828
Address: 5625 STRAND BLVD., SUITE 501, NAPLES, FL, 34110, US
Mail Address: 5625 STRAND BLVD., SUITE 501, NAPLES, FL, 34110, US
ZIP code: 34110
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VALDES MIRTHA Authorized Member 5625 STRAND BLVD., SUITE 501, NAPLES, FL, 34110
MESA GEORGE Authorized Member 5625 STRAND BLVD., SUITE 501, NAPLES, FL, 34110
VALDES MIRTHA Agent 5625 STRAND BLVD., SUITE 501, NAPLES, FL, 34110

National Provider Identifier

NPI Number:
1962295410
Certification Date:
2025-05-27

Authorized Person:

Name:
MIRTHA VALDES
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
7863594843

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Date of last update: 01 Aug 2025

Sources: Florida Department of State