TREVISANI ORAL SURGERY (NPI# 1770859365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770859365 |
| Entity Type | Organization |
| Organization Name | TREVISANI ORAL SURGERY |
| Practice Address |
4151 Hunters Park Ln Suite 140 Orlando FL 32837-3617 |
| Practice Telephone | 4077649500 |
| Practice Fax Number | 4077649502 |
| Mailing Telephone | 4077649500 |
| Mailing Fax Number | 4077649502 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | 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 |
| 1699041285 | Trevisani Oral Surgery | Clinic/Center | 1410 W Broadway St, Suite 204, Oviedo, FL 32765-6456 | 2012-03-28 |
| 1053687640 | Trevisani Oral Surgery | Clinic/Center | 2574 S Volusia Ave, Orange City, FL 32763-9123 | 2012-03-28 |
| Street Address |
4151 HUNTERS PARK LN SUITE 140 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326069857 | Raphael Bones | Internal Medicine | 4151 Hunters Park Ln, Suite 132, Orlando, FL 32837-3617 | 2006-07-21 |
| 1447795612 | Valencia Psychiatry | Psychiatry & Neurology | 4151 Hunters Park Ln, 100, Orlando, FL 32837-3617 | 2016-12-27 |
| 1285062315 | Rma Medical Center of South Orlando LLC | Internal Medicine | 4151 Hunters Park Ln, Suite 132, Orlando, FL 32837-3617 | 2013-10-29 |
| 1235406885 | Rma of South Orlando LLC | Family Medicine | 4151 Hunters Park Ln, Suite 132, Orlando, FL 32837-3617 | 2011-11-28 |
| 1043514862 | World of Pediatrics, LLC | Pediatrics | 4151 Hunters Park Ln, Suite 116, Orlando, FL 32837-3617 | 2011-01-09 |
| 1851523260 | Carlos L De Orduna Md Pa | Family Medicine | 4151 Hunters Park Ln, Ste 132, Orlando, FL 32837-3617 | 2009-08-18 |
| 1194885913 | Michael Palac Marfori | Dentist | 4151 Hunters Park Ln, Suite 124, Orlando, FL 32837-3617 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| Find all providers in zip 32837 | ||||
| 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 |
|---|---|---|---|---|
| 1306230545 | Oral Surgery Associates of Central Florida, Pa | Clinic/Center | 7651 Ashley Park Ct, Suite 406b, Orlando, FL 32835-6114 | 2015-03-25 |
| 1689940272 | Trevisani Oral Surgery | Clinic/Center | 422 S Alafaya Trl, Suite 26, Orlando, FL 32828-8984 | 2012-03-28 |
| 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.