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

Revivify Dermatology, LLC

Organization Dermatology Physician · NPI 1699319988

Revivify Dermatology, LLC is a Dermatology Physician in Boca Raton, Florida. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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

21301 Powerline Rd # 108
Boca Raton, FL 33433-2388
Phone: (561) 877-8675
Fax: (561) 672-1365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 E Broward Blvd Ste D, Ft Lauderdale, FL 33301-2022 — (754) 243-8080

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1699319988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Guevara — Medical Director · (561) 877-8675
NPI enumeratedOctober 30, 2019
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020
Mailing address21301 Powerline Rd Ste 108, Boca Raton, FL 33433-2388

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