Individual
DR. THOMAS PATRICK TREVISANI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2802 ALOMA AVE, STE 101, WINTER PARK, FL 32792-3532
(407) 629-4100
Mailing address
PO BOX 1628, WINTER PARK, FL 32790-1628
(407) 629-4100
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME30449
FL
Other
Enumeration date
02/21/2013
Last updated
03/27/2014
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