| NPI | 1508631847 |
|---|---|
| Doing Business As | RAVIVE PALSTIC SURGERY & MED SPA |
| Entity Type | Organization |
| Authorized Contact | DEEPA BHAT Owner 813-709-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |