OrganizationActive
Trevisani Oral Surgery
NPI 1699041285 · Oral and Maxillofacial Surgery Clinic/Center · Oviedo, FL
Provider details
- NPI number
- 1699041285
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tammy Eagle, Administrator(407) 886-2050
- License
- DN13576 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1410 W Broadway St
Suite 204
Oviedo, FL 32765-6456
Phone: (407) 366-2243
Fax: (407) 359-3343
Approximate (ZIP-level) locationGet directions
Mailing address
1410 W Broadway St
Oviedo, FL 32765-6456
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.