Dr. Donald Ray Revis II
Plastic and Reconstructive Surgery
2500 N Federal Hwy Suite 301
Fort Lauderdale
, Florida 33305-1618
Dr. Donald Ray Revis II
Plastic and Reconstructive Surgery
2500 N Federal Hwy Suite 301
Fort Lauderdale
, Florida 33305-1618
(954) 760-4727
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Donald Ray Revis II
- 649 Sw 8th Ter
- Fort Lauderdale, FL
- Zip : 33315-1049
- Phone : (954) 760-4727
Second Address
- Dr. Donald Ray Revis II
- 2500 N Federal Hwy Suite 301
- Fort Lauderdale, FL
- Zip : 33305-1618
- Fax : (954) 630-2094
- Phone : (954) 630-2009
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | ME0076322 | FL |
National Provider Identifier
| NPI | 1023237484 |
|---|---|
| Provider Name | Dr. Donald Ray Revis II |
| First Address | Fort Lauderdale, FL 33315-1049 |
| Second Address | Fort Lauderdale, FL 33305-1618 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.