Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Medical & Aesthetic Clinic

Organization Primary Care Clinic/Center · NPI 1104536358

Revive Medical & Aesthetic Clinic is a Primary Care Clinic/Center in Greenbelt, Maryland. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

7313 Hanover Pkwy Ste A
Greenbelt, MD 20770-3667
Phone: (301) 412-5522
Fax: (301) 498-7436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1104536358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Florence Ukenye — Clinical Director · (301) 412-5522
NPI enumeratedNovember 29, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address7313 Hanover Pkwy Ste A, Greenbelt, MD 20770-3667

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