| Wilton Mclean Reavis Jr, MD | |
|
1125 Us Highway 98 S, Suite 101, Lakeland, FL 33801-5852 | |
| (863) 683-7171 | |
| Not Available |
| Full Name | Wilton Mclean Reavis Jr |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1125 Us Highway 98 S, Lakeland, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790753465 | NPI | - | NPPES |
| 44252600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME0031892 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wilton Mclean Reavis Jr, MD 1125 Us Highway 98 S, Suite 101, Lakeland, FL 33801-5852 Ph: (863) 683-7171 | Wilton Mclean Reavis Jr, MD 1125 Us Highway 98 S, Suite 101, Lakeland, FL 33801-5852 Ph: (863) 683-7171 |
Patricia M Mcnab, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1125 Bartow Rd, Lakeland, FL 33801 Phone: 863-683-7171 | |
Craig Lariscy, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1125 Bartow Rd, Suite 101, Lakeland, FL 33801 Phone: 863-683-7171 Fax: 863-687-0742 | |
Dr. Timothy James Dickason, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1125 Bartow Rd, Ste 101, Lakeland, FL 33801 Phone: 863-683-7171 | |
Edward Garcia, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1125 Bartow Rd, Suite 101, Lakeland, FL 33801 Phone: 863-683-7171 Fax: 863-687-0742 | |
Dr. Tisha Foster, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3200 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-8925 | |
Ricardo E Duque, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1125 Us Highway 98 S, Suite 101, Lakeland, FL 33801 Phone: 863-683-7171 Fax: 863-687-0742 | |
Evander A Boynton Iii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1125 Bartow Rd, Suite 101, Lakeland, FL 33801 Phone: 863-683-7171 Fax: 863-687-0742 |