Revan LLC
NPI 1730145673ActiveOrganization· Emergency Medicine, Undersea and Hyperbaric Medicine· Palm Harbor, FL
Emergency Medicine, Undersea and Hyperbaric Medicine in Palm Harbor, Florida, registered in NPPES in April 2006. The authorized official on file is Charles Boothby, D.O., Owner.
Overview
| NPI | 1730145673 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Jul 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine, Undersea and Hyperbaric Medicine Primary | 207PE0005X | OS4598 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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