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Organization
MILDRED TAVERAS TREVETT MD PA
Active
Organization
MILDRED TAVERAS TREVETT MD PA
Active
Other names
Internal Medicine Grp of Central FL dba Lake Nona Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TREVETT (OFFICE ADMINISTRATOR)
(407) 802-1102
Entity
Organization
Contact information
Practice address
10437 MOSS PARK RD, ORLANDO, FL 32832
(407) 802-1100
(407) 802-1111
Mailing address
10437 MOSS PARK RD, ORLANDO, FL 32832
(407) 802-1100
(407) 802-1111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
ME73656
FL
Other
Enumeration date
07/11/2006
Last updated
03/22/2011
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