REVIVE WELLNESS BAR LLC NPI 1982413365

NPI Information

  • NPI: 1982413365
  • Provider Name: REVIVE WELLNESS BAR LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 3988 MAGENTA PL
    SAINT CLOUD, FL
    ZIP 34772
  • Phone: (407) 791-0613

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NPI Details

REVIVE WELLNESS BAR LLC is a family nurse practitioner in Saint Cloud, FL. REVIVE WELLNESS BAR LLC NPI is 1982413365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3988 MAGENTA PL
SAINT CLOUD, FL
ZIP 34772-411
Phone: (407) 791-0613

The provider's authorized official is Sarah Yvette Sanchez .
The authorized official title is Owner-fnp-c and has the following contact phone number (407) 791-0613.

The enumeration date for this NPI number is 12/31/2024 and was last updated on 1/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207NS0135XDermatologyProcedural DermatologyNo
3363L00000XNurse PractitionerNo
4363LF0000XNurse PractitionerFamilyYes
5363LP2300XNurse PractitionerPrimary CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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