Revive Wound & Wellness is a
General Practice based in St Johns, Florida. Revive Wound & Wellness is licensed to practice in * (Not Available) (license number ) and their current practice location is
254 Everest Ln Ste 2, St Johns, Florida. It can be reached at their office (for appointments etc.) via phone at
(716) 308-5283.
NPI number for Revive Wound & Wellness is 1578455101 and their current mailing address is 254 Everest Ln Ste 2, St Johns, Florida. Revive Wound & Wellness
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578455101.
Healthcare Provider's Profile
| Full Name | Revive Wound & Wellness |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
|---|
| Location | 254 Everest Ln Ste 2, St Johns, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578455101
- Provider Enumeration Date: 07/17/2025
- Last Update Date: 07/17/2025
Medical Identifiers
Medical identifiers for Revive Wound & Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578455101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Revive Wound & Wellness is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Revive Wound & Wellness 254 Everest Ln Ste 2, St Johns, FL 32259-4107 Ph: (716) 308-5283 | Revive Wound & Wellness 254 Everest Ln Ste 2, St Johns, FL 32259-4107 Ph: (716) 308-5283 |
Reviews and Comments