OrganizationActive
Trevisani Oral Surgery
NPI 1053687640 · Oral and Maxillofacial Surgery Clinic/Center · Orange City, FL
Provider details
- NPI number
- 1053687640
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tammy Eagle, Administrator
- License
- DN13576 (FL)
Practice location
2574 S Volusia Ave
Orange City, FL 32763-9123
Phone: (386) 774-2999
Fax: (386) 774-4922
Mailing address
2574 S Volusia Ave
Orange City, FL 32763-9123
Registry dates
- Enumerated
- 2012-03-28
- Last updated
- 2012-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.