Individual
MR. TREY SOWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-5622
(321) 434-3511
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5622
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAT9114935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112067000
—
FL
01
—
OE643
HF MEDICARE
FL
Enumeration date
09/10/2021
Last updated
10/20/2021
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