Revis, Donald Ray

Revis, Donald Ray is an sole proprietor health care provider with primary practice located at 2500 N Federal Hwy Suite 301, Fort Lauderdale FL 33305-1618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Revis, Donald Ray can be contacted via phone (954) 630-2009.

Contact Information

Primary practice address
2500 N Federal Hwy Suite 301 Fort Lauderdale FL 33305-1618
Fax: (954) 630-2094
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME0076322 Florida

Profile Details

NPI number 1023237484
LBN Legal business name Revis, Donald Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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