DR. DONALD RAY REVIS II (NPI# 1023237484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023237484 |
| Entity Type | Individual |
| Full Name | DR. DONALD RAY REVIS II |
| Credential | MD |
| Practice Address |
2500 N Federal Hwy Suite 301 Fort Lauderdale FL 33305-1618 |
| Mailing Address |
649 Sw 8th Ter Fort Lauderdale FL 33315-1049 |
| Practice Telephone | 9546302009 |
| Practice Fax Number | 9546302094 |
| Mailing Telephone | 9547604727 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME0076322 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2500 N FEDERAL HWY SUITE 301 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33305-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083750665 | Paul Scott Goodkin | Chiropractor | 2500 N Federal Hwy, Suite 100, Fort Lauderdale, FL 33305-1618 | 2007-01-30 |
| 1538676903 | Allison Mary Zaretski | Counselor | 2500 N Federal Hwy, Fort Lauderdale, FL 33305-1618 | 2018-01-06 |
| 1194241497 | The Core Centers II LLC | Substance Abuse Rehabilitation Facility | 2500 N Federal Hwy, Fort Lauderdale, FL 33305-1618 | 2017-08-17 |
| 1437511482 | Naturally You Skin & Body Clinic. Inc | Point of Service | 2500 N Federal Hwy, Fort Lauderdale, FL 33305-1618 | 2016-03-28 |
| 1942662671 | Sarah Ann Oliver | Specialist/Technologist | 2500 N Federal Hwy, Suite 204, Fort Lauderdale, FL 33305-1618 | 2016-03-22 |
| 1184038911 | The Core Centers, LLC | Substance Abuse Rehabilitation Facility | 2500 N Federal Hwy, Suite 103, Fort Lauderdale, FL 33305-1618 | 2014-06-19 |
| 1124213558 | Paul S Goodkin Dc Pa | Chiropractor | 2500 N Federal Hwy, Suite 100, Fort Lauderdale, FL 33305-1618 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244331 | Michael Moses Gans | Social Worker | 520 Ne 20th Street, #603, Wilton Manors, FL 33305 | 2020-01-14 |
| 1922650159 | Samantha Jones | Chiropractor | 1732 Ne 26th St Ste 201, Wilton Manors, FL 33305 | 2019-07-09 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1548775000 | Inbox Inc. | Counselor | 1650 Ne 26th St., Suite 206, Wilton Manors, FL 33305 | 2017-12-06 |
| 1306394168 | The 5 Elements Spa & Longevity Center | Health Maintenance Organization | 2288 Wilton Drive, Wilton Manors, FL 33305 | 2016-09-21 |
| 1467900449 | Crystal L Cacolici | Acupuncturist | 1732 Ne 26th St Ste 202, Wilton Manors, FL 33305 | 2016-09-19 |
| 1649634809 | Terri-ann Brown Arnp | Nurse Practitioner | 1881 Ne 26th Street, Suite 102, Fort Lauderdale, FL 33305 | 2016-04-13 |
| 1194130203 | Rhea Butchey | Optometrist | 2131 N Federal Hwy, Fort Lauderdale, FL 33305 | 2014-06-26 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1427300789 | Kids In Distress | Foster Care Agency | 819 Ne 26th St., Ft. Laud, FL 33305 | 2012-10-11 |
| Find all providers in zip 33305 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972736650 | Michael C Cheung | Surgery | 906 Ne 26th Ave, Fort Lauderdale, FL 33304-3607 | 2009-08-28 |
| 1861845463 | Maxim Medical Center Pa | Surgery | 551 N Federal Hwy, Suite 800, Fort Lauderdale, FL 33301-2559 | 2016-07-19 |
| 1467812529 | Cosmetic and Reconstructive Specialists of Florida, Pllc | Surgery | 906 Ne 26th Ave, Fort Lauderdale, FL 33304-3607 | 2016-03-02 |
| 1548562473 | Patricia L. Rooney, D.o., P.a. | Surgery | 2312 Ne 53rd St, Fort Lauderdale, FL 33308-3212 | 2010-11-29 |
| 1912144916 | John W Pinnella Md Pa | Surgery | 4610 N Federal Hwy, Fort Lauderdale, FL 33308-5206 | 2009-01-13 |
| 1841416633 | Gloria Thomas | Surgery | 915 Middle River Dr, Suite 213, Fort Lauderdale, FL 33304-3544 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025419 | Reinventme, LLC | Surgery | 13696 N Us Highway 441 Ste 100, Lady Lake, FL 32159-6815 | 2019-04-17 |
| 1750854378 | David Gerth Md Pa | Surgery | 4308 Alton Rd Ste 940, Miami Beach, FL 33140-4560 | 2019-01-07 |
| 1588165773 | Deepak Naidu Md, Pa | Surgery | 201 E Kennedy Blvd Ste 410, Tampa, FL 33602-3641 | 2018-02-23 |
| 1194225599 | Joseph Charles Gallagher Jr. | Surgery | 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 | 2018-02-13 |
| 1043729569 | Renee Gasgarth, M.d. P.a. | Surgery | 7300 Sw 62nd Pl Ste 200, South Miami, FL 33143-4800 | 2017-09-27 |
| 1184150625 | Pamela Loftus | Surgery | 4454 Woodfield Blvd, Boca Raton, FL 33434-5310 | 2017-05-03 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| 1629482096 | Jill Swindell | Surgery | 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 | 2014-06-13 |
| 1205274784 | Melanie L Aya-ay Md Plastic Surgery Pl | Surgery | 17523 N Dale Mabry Hwy, Lutz, FL 33548-4521 | 2013-06-06 |
| 1790123487 | Jason Crespo | Surgery | 1250 Pine Ridge Rd Ste 101c, Naples, FL 34108-8913 | 2013-06-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33305 |
Please comment or provide details below to improve the information on DR. DONALD RAY REVIS II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.