Individual provider · Type 1 NPI

Donald Ray Revis Ii, MD

Plastic and Reconstructive Surgery Physician · Fort Lauderdale, FL

NPI number 1023237484 Active

Practice location

2500 N Federal Hwy, Suite 301
Fort Lauderdale, FL 33305-1618

Fax (954) 630-2094

Mailing address

649 SW 8th Ter
Fort Lauderdale, FL 33315-1049

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XME0076322 (FL)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1023237484

Donald Ray Revis Ii, MD's National Provider Identifier is 1023237484, issued on Apr 24, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 8, 2007.