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Organization
REVIV SPA LLC
Active
Organization
REVIV SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA ALEXANDRA PAVELSKI MONARI (OWNER)
(213) 336-1519
Entity
Organization
Contact information
Practice address
2707 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1604
(954) 444-8443
Mailing address
2707 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1604
(954) 444-8443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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