Revive Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REVIVE SURGICENTER LLC

Practice address

1347 E Sample Rd Ste 102
Pompano Beach, FL 33064-6278

Phone

(314) 283-8738

NPI assigned

Mar 6, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dane Pohlman, DONPI 1639483969

Title

Owner

Phone

(314) 283-8738

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Ambulatory surgical center certification: CCN 10C0001785

Legal name

REVIVE SURGICENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 20, 2026

Last certification

May 1, 2026

Facility address

1347 E Sample Rd, Ste B
Pompano Beach, FL 33064

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pohlman Pain Associates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Pohlman Pain Associates LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Delray Beach, FL
  • NPI 1669049292
  NPD tax ID
• Pohlman Pain Associates LLC

  • Physical Medicine & Rehabilitation Physician
  • Pompano Beach, FL
  • NPI 1669165338
  NPD tax ID
• Pohlman Pain Associates LLC

  • Physical Medicine & Rehabilitation Physician
  • Coral Springs, FL
  • NPI 1952094625
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dane C Pohlman, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Delray Beach, FL
  • NPI 1639483969
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1023816774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 E SAMPLE RD STE 102",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 E SAMPLE RD STE 102",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646278",
            "telephone_number": "314-283-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "POHLMAN",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-283-8738",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakheena Rennie, OTR/L
• Renumi Inc
• Residence at Pompano Beach LLC
• Restoration Physical Therapy
• Reveresco ABA Therapy, LLC
• Rebecca M Rey, M.D.
• Gabriella Elena Reyes
• Irish M. Reyes, PA-C
• Laura A. Reyes, OTR/L
• Patricia Anne Reyes, PHARMD

• Ambulatory Surgical Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.