OrganizationActive
Vivify Plastic Surgery LLC
NPI 1073093175 · Plastic and Reconstructive Surgery Physician · Tampa, FL
Provider details
- NPI number
- 1073093175
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dallas Buchanan, Owner/Provider(833) 284-8439
- License
- ME134199 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 W Kennedy Blvd
Suite 202
Tampa, FL 33606-2494
Phone: (406) 848-4391
Fax: (509) 323-1607
Street-level locationGet directions
Mailing address
1000 W Kennedy Blvd Ste 202
Tampa, FL 33606-1940
Registry dates
- Enumerated
- 2018-08-17
- Last updated
- 2018-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.