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Revival Ventures

Revival Ventures is a healthcare organization registered as Plastic Surgery Physician in Miramar Beach, FL, holding Type 2 (organization) NPI 1235867037 since 2022. The authorized official on file is Daniel Womac, Sole Ownder.

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NPI 1235867037
Entity type Organization (Type 2)
Legal business name Revival Ventures
Practice address 3572 PRESERVE DR, Miramar Beach, FL, 32550
Phone 5042339818
Fax 5049490599
Enumeration date 2022-08-10
Last updated in NPPES 2023-04-04

Authorized official

Name Daniel Womac
Title Sole Ownder
Phone 5048008058

Taxonomy & classification

Taxonomy code Specialty Primary License State
208200000X Plastic Surgery Physician Primary

Other identifiers

Identifier Type State Issuer
ME153935 Other FL FLORIDA STATE LICENSE
Copy-ready billing details
Provider: Revival Ventures
NPI: 1235867037
Taxonomy: 208200000X (Plastic Surgery Physician)
Address: 3572 PRESERVE DR, Miramar Beach, FL, 32550

Providers at this address

NPI Name Type Specialty Location
1689305674 Restorative Plastic Surgery LLC Organization Plastic and Reconstructive Surgery Physician Miramar Beach, FL

Verify this record

Cross-check NPI 1235867037 against the authoritative CMS record: view Revival Ventures on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Revival Ventures?
Revival Ventures is registered in NPPES as a Plastic Surgery Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-04-04.