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

Revive Wellness Bar LLC

Organization Dermatology Physician · NPI 1982413365

Revive Wellness Bar LLC is a Dermatology Physician in Saint Cloud, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
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

3988 Magenta Pl
Saint Cloud, FL 34772-6411
Phone: (407) 791-0613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Dermatology Physician Taxonomy 207N00000X
Procedural Dermatology Physician Taxonomy 207NS0135X
Nurse Practitioner Taxonomy 363L00000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1982413365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Sanchez — Owner-Fnp-C · (407) 791-0613
NPI enumeratedDecember 31, 2024
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address3988 Magenta Pl, Saint Cloud, FL 34772-6411

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