OrganizationActive
Trevisani Oral Surgery
NPI 1770859365 · Oral and Maxillofacial Surgery Clinic/Center · Orlando, FL
Provider details
- NPI number
- 1770859365
- 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
4151 Hunters Park Ln
Suite 140
Orlando, FL 32837-3617
Phone: (407) 764-9500
Fax: (407) 764-9502
Approximate (ZIP-level) locationGet directions
Mailing address
4151 Hunters Park Ln
Orlando, FL 32837-3617
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.