Revive Wound & Wellness – General Practice Physician, NPI 1578455101

Revive Wound & Wellness is a healthcare provider. based in St johns, Florida. specializing in General Practice Physician. The NPI Number for Revive Wound & Wellness is 1578455101

Main info

Organization
Name
Revive Wound & Wellness
NPI
1578455101
Phone
(716) 308-5283
Address
254 EVEREST LN STE 2
Authorized Official
DR. VASSIL VALOV OPERATING MANAGER DC
Enumeration Date
17 July 2025
Last Update Date
17 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience20
Completeness90
Years active:0State licenses:0Digital endpoints

Provider Addresses for Revive Wound & Wellness

  • 254 EVEREST LN STE 2

    ST JOHNS, FL 322594107

    Phone: (716) 308-5283

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32259)

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Frequently asked questions

What is Revive Wound & Wellness's NPI number?
Revive Wound & Wellness's NPI is 1578455101 — the number used across U.S. healthcare to identify this provider.
Is there an active status for Revive Wound & Wellness?
For scheduling context, Revive Wound & Wellness is shown as active in the registry.
What clinical focus is listed for Revive Wound & Wellness?
At a glance, Revive Wound & Wellness is tied to General Practice Physician. Clinical services aligned with this taxonomy classification.
Is Revive Wound & Wellness located near St Johns?
Revive Wound & Wellness currently maps to St Johns, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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