NPIMap

Organization Active NPI

Mildred Taveras Trevett MD PA

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1932133279
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MILDRED TAVERAS TREVETT MD PA
Practice address
10437 Moss Park Rd
Orlando, FL 32832
Phone
(407) 802-1100
Fax
(407) 802-1111
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
David Trevett
Title
Office Administrator
Phone
(407) 802-1102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X ME73656 FL

Addresses

Primary practice location

10437 Moss Park Rd
Orlando, FL 32832

Mailing address

10437 Moss Park Rd
Orlando, FL 32832
Phone (407) 802-1100

Other names 1

  • Internal Medicine Grp of Central FL dba Lake Nona Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

720 W Oak St
Ste 314
Kissimmee, FL 34741

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1932133279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10437 MOSS PARK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-802-1100",
            "fax_number": "407-802-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 MOSS PARK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-802-1100",
            "fax_number": "407-802-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDRED TAVERAS TREVETT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "TREVETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-802-1102"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME73656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Grp of Central FL dba Lake Nona Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.