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Contact Information

TREVISANI ORAL SURGERY
2574 S VOLUSIA AVE
ORANGE CITY, FL32763-9123
 Phone: 386-774-2999
 Fax: 386-774-4922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for TREVISANI ORAL SURGERY

NPI # 1053687640
LBN Legal business name TREVISANI ORAL SURGERY
Authorized official TAMMY EAGLE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2012
Last updated 03/28/2012 - About 14 years ago
Identifiers
FL License # DN13576
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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