WILTON MCLEAN REAVIS JR. M.D.
NPI 1790753465
Pathology - Anatomic Pathology & Clinical Pathology in Lakeland, FL

Q: What is Wilton Reavis's NPI number?

The NPI number for Wilton Reavis is 1790753465. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Wilton Reavis's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Wilton Reavis was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 09, 2006

1125 US HIGHWAY 98 S, SUITE 101, LAKELAND, FL 33801(863) 683-7171 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wilton Mclean Reavis Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILTON MCLEAN REAVIS JR. M.D. (NPI 1790753465) is an individual anatomic pathology & clinical pathology provider in Lakeland, Florida, licensed in Florida (ME0031892) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1790753465

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameWILTON MCLEAN REAVIS JR.Credential: M.D.

Location Address1125 US HIGHWAY 98 S, SUITE 101Lakeland, FL 33801-5852

Mailing Address1125 Us Highway 98 S, Suite 101Lakeland, FL 33801-5852 · (863) 683-7171

Phone(863) 683-7171

Sole ProprietorNo

Enumeration DateMarch 9, 2006

Last NPPES UpdateApril 22, 2008

✔ NPI 1790753465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in FL · ME0031892

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1125 US HIGHWAY 98 S, Lakeland, FL 33801

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Other Identifiers 3

Medicare UPIND56592FL

Medicare ID-Type Unspecified53575ZFL

Medicaid44252600FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICARDO E DUQUE M.D.

Pathology (Anatomic Pathology)

1125 US HIGHWAY 98 S, SUITE 101
LAKELAND, FL 33801

Polk County (863) 683-7171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilton Reavis's NPI number?

The NPI number for Wilton Reavis is 1790753465. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Wilton Reavis located?

Wilton Reavis practices at 1125 Us Highway 98 S Suite 101, Lakeland, FL 33801. The listed phone number is (863) 683-7171.

What is Wilton Reavis's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Wilton Reavis was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.