Organization
REVIVIFY BEAUTY SALON & SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL AZALEA RICE (OWNER)
(407) 205-9393
Entity
Organization
Contact information
Practice address
5041 EDGEWATER DR, ORLANDO, FL 32810-5226
(407) 205-9393
(407) 201-4460
Mailing address
1600 THE OAKS BLVD, KISSIMMEE, FL 34746-3829
(407) 577-8136
(407) 201-4460
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us