Revan LLC
NPI 1730145673 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Palm Harbor, FL
Revan LLC is a Undersea and Hyperbaric Medicine (Emergency Medicine) Physician organization in Palm Harbor, FL (NPI 1730145673).
Provider details
- NPI number
- 1730145673
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Boothby, Owner(727) 869-5551
- License
- OS4598 (FL)
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
20 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
Other names (DBA / former)
- Former legal business name
- D/B/A Wound Management
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2015-07-01
Frequently asked questions
- What is Revan LLC's NPI number?
- Revan LLC's National Provider Identifier (NPI) is 1730145673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revan LLC?
- Revan LLC is classified in the NPPES registry as Undersea and Hyperbaric Medicine (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Revan LLC located?
- Revan LLC's practice location on file with NPPES is 3890 Tampa Rd Ste 201, Palm Harbor, FL 34684-3677.
- What is Revan LLC's phone number?
- The practice phone number listed in the NPPES registry for Revan LLC is (727) 781-3111.
- Who is the authorized official for Revan LLC?
- The authorized official listed on Revan LLC's NPPES record is Charles Boothby, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revan LLC's NPI active?
- Yes — Revan LLC's NPI (1730145673) is active in the NPPES registry as of the last update on 2015-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.