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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILTON MCLEAN REAVIS JR., M.D.

Active

Anatomic Pathology & Clinical Pathology · LAKELAND, FL

Registration Details

NPI Number
1790753465
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2006 (20.159135811285 yrs)
Last Updated
Apr 22, 2008
License
ME0031892 (FL)

Practice Information

Address
1125 US HIGHWAY 98 S
SUITE 101
LAKELAND, FL, 338015852
Browse FL providers · Browse ZIP 33801
Phone
8636837171
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in LAKELAND, FL

Name Credential NPI
CRAIG LARISCY M.D. 1225005226
EVANDER A BOYNTON III M.D. 1760459770
DR. TIMOTHY JAMES DICKASON M.D. 1346218120
EDWARD GARCIA M.D. 1457329047
DR. BRIAN JOEL YODER D.O. 1831131994
PATRICIA N MOODY M.D. 1033308028
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.