Trevisani Oral Surgery Orlando PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN13576 Issued in FL

Legal business name

TREVISANI ORAL SURGERY ORLANDO PLC

Practice address

10967 Lake Underhill Rd Ste 144
Orlando, FL 32825-4456

Phone

(407) 764-9900

Fax

(407) 764-9902

NPI assigned

Jan 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tami Vargas

Title

Office Manager

Phone

(407) 886-2050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald J Trevisani, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Apopka, FL
  • NPI 1740325794
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1154838365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-886-2050",
            "fax_number": "407-886-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD STE 144",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254456",
            "telephone_number": "407-764-9900",
            "fax_number": "407-764-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVISANI ORAL SURGERY ORLANDO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-886-2050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN13576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred T Trevett, M.D.
• Bianca R Trevino, ARNP - BC
• Lisa Marie Trevino
• Trevisani Oral Surgery
• Trevisani Oral Surgery
• Tamera Trexler, MA, CAP
• Tri County Psychiatric Associates, P.a.
• Triana Therapy Center. Inc
• Emily Triana-Olin, CRNA
• Jamie Lee Triantafellu, PHD

• Oral and Maxillofacial Surgery (Dentist) in Orlando, FL
• Providers in Orlando, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.