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

4151 Hunters Park LN
Suite 140
Orlando, FL 32837-3617

Phone

(407) 764-9500

Fax

(407) 764-9502

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Tammy Eagle

Title

Administrator

Phone

(407) 886-2050

Specialties & licenses 1

Addresses

Locations

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": "1770859365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 HUNTERS PARK LN",
            "address_2": "SUITE 140",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373617",
            "telephone_number": "407-764-9500",
            "fax_number": "407-764-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 HUNTERS PARK LN",
            "address_2": "SUITE 140",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373617",
            "telephone_number": "407-764-9500",
            "fax_number": "407-764-9502"
        }
    ],
    "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"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN13576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Emily Triana-Olin, CRNA

• 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.