Revival Ventures
NPI 1235867037 · Plastic Surgery Physician · Miramar Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revival Ventures is a Plastic Surgery Physician organization in Miramar Beach, FL (NPI 1235867037).
Provider details
- NPI number
- 1235867037
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Womac, Sole Ownder(504) 800-8058
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2023-04-04
- Certified
- 2023-04-04
Frequently asked questions
- What is Revival Ventures's NPI number?
- Revival Ventures's National Provider Identifier (NPI) is 1235867037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Ventures?
- Revival Ventures is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Revival Ventures located?
- Revival Ventures's practice location on file with NPPES is 3572 Preserve Dr, Miramar Beach, FL 32550-1802.
- What is Revival Ventures's phone number?
- The practice phone number listed in the NPPES registry for Revival Ventures is (504) 233-9818.
- Does Revival Ventures accept Medicare?
- Revival Ventures is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revival Ventures?
- The authorized official listed on Revival Ventures's NPPES record is Daniel Womac, Sole Ownder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Ventures's NPI active?
- Yes — Revival Ventures's NPI (1235867037) is active in the NPPES registry as of the last update on 2023-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.