Organization
DR PATRICK TREVISANI DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J TREVISANI DPM (PODIATRIST)
(407) 810-6383
Entity
Organization
Contact information
Practice address
500 STATE ROAD 436, SUITE 2092, CASSELBERRY, FL 32707-5387
(407) 810-6383
(407) 331-5084
Mailing address
PO BOX 650, WINTER PARK, FL 32790-0650
(407) 331-3470
(407) 699-6706
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P00001844
FL
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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