Dr Patrick Trevisani DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P00001844 Issued in FL

Legal business name

DR PATRICK TREVISANI DPM

Practice address

500 State Road 436
Suite 2092
Casselberry, FL 32707-5387

Phone

(407) 810-6383

Fax

(407) 331-5084

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Patrick J Trevisani, DPMNPI 1790761088

Title

Podiatrist

Phone

(407) 810-6383

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.

• Patrick J Trevisani, DPM

  • Podiatrist
  • Casselberry, FL
  • NPI 1790761088
  NPD (past) Authorized official

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1730579830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327900650",
            "telephone_number": "407-331-3470",
            "fax_number": "407-699-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STATE ROAD 436",
            "address_2": "SUITE 2092",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075387",
            "telephone_number": "407-810-6383",
            "fax_number": "407-331-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PATRICK TREVISANI DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "TREVISANI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "407-810-6383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P00001844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary M Dominguez, RMHC INTERN
• Anette Donahoe
• Biljana Dordevic
• Kelly Jo Dottore, PT
• Jeffrey Adam Downing, DO
• Dr. Deep Agee PA
• Dr. Mohan Saoji
• Lynda Lee Dubroff, LCSW
• Eric James Dullmeyer, M.P.T.
• Shanay T Duncan, APRN, FNP-BC

• Podiatrist in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.