REVIVIFY DERMATOLOGY, LLC

BOCA RATON, FL
NPI1699319988
Entity TypeOrganization
Authorized ContactDENISE M. GUEVARA
Medical Director
561-877-8675
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2019-10-30
Last Update Date2020-08-19
Business Address
REVIVIFY DERMATOLOGY, LLC
21301 POWERLINE RD # 108
BOCA RATON, FL 33433-2388
Phone number: 561-877-8675
Mailing Address
REVIVIFY DERMATOLOGY, LLC
21301 POWERLINE RD STE 108
BOCA RATON, FL 33433-2388
Phone number: 561-877-8675
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