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REVAN LLC
NPI 1730145673
Emergency Medicine - Undersea and Hyperbaric Medicine in Palm Harbor, FL

Active since April 20, 2006
3890 TAMPA RD STE 201, PALM HARBOR, FL 34684(727) 781-3111(727) 781-3113 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revan Llc NPPES

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

REVAN LLC (NPI 1730145673), doing business as D/b/a Wound Management, is a healthcare organization registered as an undersea and hyperbaric medicine in Palm Harbor, Florida and active in the NPI registry since April 2006. The organization lists Charles Boothby, Owner, as its authorized official.

NPPES Registry Identity

NPI1730145673
Entity TypeOrganization
Primary Taxonomy207PE0005X
Legal Business NameREVAN LLC
Location Address3890 TAMPA RD STE 201Palm Harbor, FL 34684-3677
Mailing AddressPo Box 25513Tampa, FL 33622-5513 · (727) 823-2188 · Fax (727) 828-0723
Phone(727) 781-3111
Fax(727) 781-3113
Organization SubpartNo
Authorized OfficialCharles BoothbyOwner · (727) 869-5551
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 1, 2015
✔ NPI 1730145673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
License✔ Licensed in FL · OS4598
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
3890 TAMPA RD STE 201, Palm Harbor, FL 34684
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Other Names 1

Former Legal Business NameD/b/a Wound Management

Other Identifiers 3

Medicaid069165800FL
Other82569FL · Bcbs Fl
Medicare PINK8870FL

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 Revan LLC's NPI number?

The NPI number for Revan LLC is 1730145673. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider was formerly known as D/B/A Wound Management.

Where is Revan LLC located?

Revan LLC is located at 3890 Tampa Rd Ste 201, Palm Harbor, FL 34684. The listed phone number is (727) 781-3111.

What is Revan LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

When was this NPI record last updated?

The NPPES record for Revan LLC was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.