Revivify Dermatology, Llc

LBN: Revivify Dermatology, Llc
Revivify Dermatology, Llc is an health care organization with primary practice located at 21301 Powerline Rd # 108 , Boca Raton FL 33433-2388. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Revivify Dermatology, Llc can be contacted via phone (561) 877-8675, or through Guevara, Denise M. via phone (561) 877-8675.

Contact Information

Primary practice address
21301 Powerline Rd # 108 Boca Raton FL 33433-2388
Phone: (561) 877-8675
Fax: (561) 672-1365
Website:
Map and Directions
Authorized official contact:
Name: Guevara, Denise M. Doctor of Osteopathy (DO)
Phone: (561) 877-8675

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1699319988
LBN Legal business name Revivify Dermatology, Llc
DBA Doing business as
Authorized official Guevara, Denise M. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2019
Last updated Aug 19th, 2020 - about 6 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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