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

Revive Medspa LLC

Organization Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1992553903

Revive Medspa LLC is a Preventive Medicine/Occupational Environmental Medicine Physician in Hunt Valley, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11350 McCormick Rd Ste 800
Hunt Valley, MD 21031-1002
Phone: (410) 261-6199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X

Record details

NPI number1992553903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandi Tanasescu — Cfo · (410) 812-5871
NPI enumeratedMay 7, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address11350 McCormick Rd Ste 800, Hunt Valley, MD 21031-1002

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