Trevisani Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DN13576 Issued in FL

Legal business name

TREVISANI ORAL SURGERY

Practice address

422 S Alafaya TRL
Suite 26
Orlando, FL 32828-8984

Phone

(407) 764-9900

Fax

(407) 764-9902

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Eagle

Title

Administrator

Phone

(407) 886-2050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1689940272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 S ALAFAYA TRL",
            "address_2": "SUITE 26",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288984",
            "telephone_number": "407-764-9900",
            "fax_number": "407-764-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 S ALAFAYA TRL",
            "address_2": "SUITE 26",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288984",
            "telephone_number": "407-764-9900",
            "fax_number": "407-764-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVISANI ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-886-2050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN13576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Tretter, CRNA
• Diana M Treu, M.D.
• Mildred T Trevett, M.D.
• Bianca R Trevino, ARNP - BC
• Lisa Marie Trevino
• Trevisani Oral Surgery
• Trevisani Oral Surgery Orlando PLC
• Tamera Trexler, MA, CAP
• Tri County Psychiatric Associates, P.a.
• Triana Therapy Center. Inc

• Oral and Maxillofacial Surgery Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.