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

Vivify Plastic Surgery LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1073093175

Vivify Plastic Surgery LLC is a Plastic and Reconstructive Surgery Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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

1000 W Kennedy Blvd Ste 202
Tampa, FL 33606-2494
Phone: (406) 848-4391
Fax: (509) 323-1607
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence ME134199 (FL)

Record details

NPI number1073093175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dallas Buchanan — Owner/Provider · (833) 284-8439
NPI enumeratedAugust 17, 2018
Last updated in NPPESNovember 27, 2018
Mailing address1000 W Kennedy Blvd Ste 202, Tampa, FL 33606-1940

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