TREVISANI ORAL SURGERY; NPI #1316211196

Contact Information

TREVISANI ORAL SURGERY

511 WEKIVA COMMONS CIR
APOPKA, FL 32712-3645

Phone: 407-886-2050
Fax: 407-886-2117
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for TREVISANI ORAL SURGERY

NPI Number 1316211196

LBN Legal business name TREVISANI ORAL SURGERY

Authorized official TAMMY EAGLE - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/27/2012

Last updated 02/27/2012 - About 14 years ago

Identifiers

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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