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1023237484
DONALD RAY REVIS
FORT LAUDERDALE, FL
NPI
1023237484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: FL me0076322)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
Dr. DONALD RAY REVIS md
2500 N FEDERAL HWY SUITE 301
FORT LAUDERDALE, FL 33305-1618
Phone number: 954-630-2009
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Mailing Address
Dr. DONALD RAY REVIS md
649 SW 8TH TER
FORT LAUDERDALE, FL 33315-1049
Phone number: 954-760-4727
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