VIVIFY PLASTIC SURGERY LLC
NPI 1073093175
Surgery - Plastic and Reconstructive Surgery in Tampa, FL

Q: What is Vivify Plastic Surgery LLC's NPI number?

The NPI number for Vivify Plastic Surgery LLC is 1073093175. It was assigned to this organization in the NPPES registry on August 17, 2018.

Q: What is Vivify Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since August 17, 2018

1000 W KENNEDY BLVD, SUITE 202, TAMPA, FL 33606(406) 848-4391(509) 323-1607 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 27, 2018, Aug 17, 2018 (2 updates tracked since 2018).

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About Vivify Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIFY PLASTIC SURGERY LLC (NPI 1073093175) is a healthcare organization registered as a plastic and reconstructive surgery in Tampa, Florida and active in the NPI registry since August 2018. The organization lists Dallas R. Buchanan, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1073093175

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameVIVIFY PLASTIC SURGERY LLC

Location Address1000 W KENNEDY BLVD, SUITE 202Tampa, FL 33606-2494

Mailing Address1000 W Kennedy Blvd Ste 202Tampa, FL 33606-1940 · (406) 848-4391 · Fax (509) 323-1607

Phone(406) 848-4391

Fax(509) 323-1607

Organization SubpartNo

Authorized OfficialDallas R. BuchananOwner/provider · (833) 284-8439

Enumeration DateAugust 17, 2018

Last NPPES UpdateNovember 27, 20182 updates tracked since enumeration

✔ NPI 1073093175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in FL · ME134199

Definition

A surgeon who specializes in plastic and reconstructive surgery.

1000 W KENNEDY BLVD, Tampa, FL 33606

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMPA INTERVENTIONAL SPINE PHYSICIANS LLC

Pain Medicine (Interventional Pain Medicine)

1000 W KENNEDY BLVD, SUITE 201
TAMPA, FL 33606

Hillsborough County (813) 258-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivify Plastic Surgery LLC's NPI number?

The NPI number for Vivify Plastic Surgery LLC is 1073093175. It was assigned to this organization in the NPPES registry on August 17, 2018.

Where is Vivify Plastic Surgery LLC located?

Vivify Plastic Surgery LLC is located at 1000 W Kennedy Blvd Suite 202, Tampa, FL 33606. The listed phone number is (406) 848-4391.

What is Vivify Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Vivify Plastic Surgery LLC was last updated on November 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.