Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Wilton Mclean Reavis Jr., M.D.

Anatomic Pathology & Clinical Pathology Physician in Lakeland, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790753465

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Registry record

Entity type Individual (Type 1)

Name Wilton Mclean Reavis Jr.

Credential M.D.

Sex Male

Practice address 1125 Us Highway 98 S, Suite 101, Lakeland, FL, 33801

Phone (863) 683-7171

Enumeration date Mar 9, 2006

Last updated in NPPES Apr 22, 2008

Taxonomy & licenses

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License ME0031892 (FL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
44252600	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Wilton Reavis practice?

The practice location on file with NPPES is in Lakeland, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Wilton Reavis?

The National Provider Identifier (NPI) for Wilton Reavis is 1790753465, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Ricardo Duque Anatomic Pathology Physician · Lakeland, FL NPI 1720055791

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-22.