TREVISANI ORAL SURGERY (NPI# 1699041285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699041285 |
| Entity Type | Organization |
| Organization Name | TREVISANI ORAL SURGERY |
| Practice Address |
1410 W Broadway St Suite 204 Oviedo FL 32765-6456 |
| Practice Telephone | 4073662243 |
| Practice Fax Number | 4073593343 |
| Mailing Telephone | 4073662243 |
| Mailing Fax Number | 4073593343 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | MRS. TAMMY EAGLE (ADMINISTRATOR) |
| Authorized Official Telephone | 4078862050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
DN13576 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316211196 | Trevisani Oral Surgery | Clinic/Center | 511 Wekiva Commons Cir, Apopka, FL 32712-3645 | 2012-02-27 |
| 1689940272 | Trevisani Oral Surgery | Clinic/Center | 422 S Alafaya Trl, Suite 26, Orlando, FL 32828-8984 | 2012-03-28 |
| 1770859365 | Trevisani Oral Surgery | Clinic/Center | 4151 Hunters Park Ln, Suite 140, Orlando, FL 32837-3617 | 2012-03-28 |
| 1053687640 | Trevisani Oral Surgery | Clinic/Center | 2574 S Volusia Ave, Orange City, FL 32763-9123 | 2012-03-28 |
| Street Address |
1410 W BROADWAY ST SUITE 204 |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-6456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871577338 | Roger A. Marrero | Family Medicine | 1410 W Broadway St, Suite 108, Oviedo, FL 32765-6456 | 2005-11-30 |
| 1104284991 | Roger A. Marrero, M.d. Dba Oviedo Primary Care | Clinic/Center | 1410 W Broadway St, Suite 108, Oviedo, FL 32765-6456 | 2016-02-08 |
| 1578954145 | Anne Sexton | Physician Assistant | 1410 W Broadway St, Ste 205, Oviedo, FL 32765-6456 | 2015-02-18 |
| 1154650133 | Ka Yin Mccallister | Nurse Practitioner | 1410 W Broadway St, Suite 104, Oviedo, FL 32765-6456 | 2009-12-21 |
| 1275779290 | Womens Care Florida LLP | Obstetrics & Gynecology | 1410 W Broadway St, Oviedo, FL 32765-6456 | 2008-12-22 |
| 1447451307 | Tim D Chapman | Chiropractor | 1410 W Broadway St, Suite 101, Oviedo, FL 32765-6456 | 2007-05-29 |
| 1841395811 | Adventist Health System-sunbelt Inc Dba Florida Hospital | Pediatrics | 1410 W Broadway St, #104, Oviedo, FL 32765-6456 | 2006-09-14 |
| 1336165760 | Sadiq Mandani | Pediatrics | 1410 W Broadway St, Suite 104, Oviedo, FL 32765-6456 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875968 | Aq Surgery LLC | Clinic/Center | 14050 Integra Dr Apt 1134, Jacksonville, FL 32218-2666 | 2020-06-10 |
| 1568095255 | Broward Oral Surgery Pa | Clinic/Center | 3157 N University Dr Ste 104, Pembroke Pines, FL 33024-2258 | 2020-02-20 |
| 1497221352 | Ac O&m Services LLC | Clinic/Center | 4675 Van Dyke Rd, Lutz, FL 33558-4880 | 2018-10-18 |
| 1326549080 | Dental Designs of Naples LLC | Clinic/Center | 5048 Tamiami Trl N Ste A, Naples, FL 34103-2836 | 2018-02-27 |
| 1407395361 | Barry C Levine Dmd Pa | Clinic/Center | 5212 E Fowler Ave, Temple Terrace, FL 33617-2147 | 2017-02-13 |
| 1760722474 | Oral and Facial Surgery of Florida, Inc. | Clinic/Center | 19051 Us Highway 441, Suite 104, Mount Dora, FL 32757-6708 | 2013-02-18 |
| 1316211196 | Trevisani Oral Surgery | Clinic/Center | 511 Wekiva Commons Cir, Apopka, FL 32712-3645 | 2012-02-27 |
| 1386957744 | Regina H. Saenz, Dds, Pa | Clinic/Center | 950 N Krome Ave Ste 204, Homestead, FL 33030-4455 | 2010-07-14 |
| 1598883043 | Philip Marciano, M.d., P.a. | Clinic/Center | 9975 Tamiami Trl N, #4, Naples, FL 34108-1942 | 2007-03-26 |
| 1073143731 | Swan Oral & Facial Surgery, LLC | Clinic/Center | 407 S Kentucky Ave, Lakeland, FL 33801-5301 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.