Organization
TREVISANI CENTRE PA
Active
Other names
Aesthetic Surgery Centre
Organization subpart
No
Provider details
NPI number
Authorized official
JON PAUL TREVISANI MD (PRESIDENT)
(407) 677-8999
Entity
Organization
Contact information
Practice address
413 LAKE HOWELL RD, MAITLAND, FL 32751-5906
(407) 677-8999
Mailing address
413 LAKE HOWELL RD, MAITLAND, FL 32751-5906
(407) 677-8999
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
63930
FL
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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