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
Phone: (954) 630-2009
Fax: (954) 630-2094
Website:
Health care specialties
Specialty | Code | License # | 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 18 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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