OrganizationActive
Revivify Dermatology, LLC
NPI 1699319988 · Dermatology Physician · Boca Raton, FL
Revivify Dermatology, LLC is a Dermatology Physician organization in Boca Raton, FL (NPI 1699319988).
Provider details
- NPI number
- 1699319988
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denise Guevara, Medical Director(561) 877-8675
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
21301 Powerline Rd # 108
Boca Raton, FL 33433-2388
Phone: (561) 877-8675
Fax: (561) 672-1365
Street-level locationGet directions
Mailing address
21301 Powerline Rd Ste 108
Boca Raton, FL 33433-2388
Additional practice locations (1)
- 701 E Broward Blvd Ste DFt Lauderdale, FL 33301-2022Phone: (754) 243-8080Fax: (754) 243-8088
Registry dates
- Enumerated
- 2019-10-30
- Last updated
- 2020-08-19
- Certified
- 2020-08-19
Frequently asked questions
- What is Revivify Dermatology, LLC's NPI number?
- Revivify Dermatology, LLC's National Provider Identifier (NPI) is 1699319988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivify Dermatology, LLC?
- Revivify Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Revivify Dermatology, LLC located?
- Revivify Dermatology, LLC's practice location on file with NPPES is 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388.
- What is Revivify Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revivify Dermatology, LLC is (561) 877-8675.
- Who is the authorized official for Revivify Dermatology, LLC?
- The authorized official listed on Revivify Dermatology, LLC's NPPES record is Denise Guevara, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivify Dermatology, LLC's NPI active?
- Yes — Revivify Dermatology, LLC's NPI (1699319988) is active in the NPPES registry as of the last update on 2020-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.