REVIVIFY DERMATOLOGY, LLC
NPI 1699319988
Dermatology in Boca Raton, FL

Active since October 30, 2019
21301 POWERLINE RD # 108, BOCA RATON, FL 33433(561) 877-8675(561) 672-1365 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2020, Aug 10, 2020, Aug 4, 2020 and 3 more (6 updates tracked since 2019).

About Revivify Dermatology, Llc NPPES

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

REVIVIFY DERMATOLOGY, LLC (NPI 1699319988) is a healthcare organization registered as a dermatology in Boca Raton, Florida and active in the NPI registry since October 2019. The organization maintains a secondary practice location in Ft Lauderdale and lists Denise M. Guevara, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1699319988
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameREVIVIFY DERMATOLOGY, LLC
Location Address21301 POWERLINE RD # 108Boca Raton, FL 33433-2388
Mailing Address21301 Powerline Rd Ste 108Boca Raton, FL 33433-2388 · (561) 877-8675 · Fax (561) 672-1365
Fax(561) 672-1365
Organization SubpartNo
Authorized OfficialDenise M. GuevaraMedical Director · (561) 877-8675
Enumeration DateOctober 30, 2019
Last NPPES UpdateAugust 19, 20206 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
NPI 1699319988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

21301 POWERLINE RD # 108, Boca Raton, FL 33433

Secondary Practice Location 1

Location 1701 E Broward Blvd Ste DFt Lauderdale, FL 33301-2022 · Phone (754) 243-8080 · Fax (754) 243-8088

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

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 Revivify Dermatology, LLC's NPI number?

The NPI number for Revivify Dermatology, LLC is 1699319988. It was assigned to this organization in the NPPES registry on October 30, 2019.

Where is Revivify Dermatology, LLC located?

Revivify Dermatology, LLC is located at 21301 Powerline Rd # 108, Boca Raton, FL 33433. The listed phone number is (561) 877-8675.

What is Revivify Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Revivify Dermatology, LLC was last updated on August 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.