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

Revivify Beauty Salon & Spa, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1659244143

Revivify Beauty Salon & Spa, LLC is a Prosthetic/Orthotic Supplier in Orlando, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

5041 Edgewater Dr
Orlando, FL 32810-5226
Phone: (407) 205-9393
Fax: (407) 201-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1659244143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abigail Rice — Owner · (407) 205-9393
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address1600 The Oaks Blvd, Kissimmee, FL 34746-3829

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