Healthcare Provider Details

I. General information

NPI: 1386498541
Provider Name (Legal Business Name): REAL MEDIX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CLINT MOORE RD STE 150
BOCA RATON FL
33487-5715
US

IV. Provider business mailing address

1601 CLINT MOORE RD STE 150
BOCA RATON FL
33487-5715
US

V. Phone/Fax

Practice location:
  • Phone: 305-504-6797
  • Fax:
Mailing address:
  • Phone: 305-504-6797
  • Fax: 305-424-7240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAFAEL LEVITAN
Title or Position: PARTNER / FOUNDER
Credential:
Phone: 561-221-2829