Individual
DR. PATRICK J TREVISANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3532 MERIVALE DR, CASSELBERRY, FL 32707-6023
(407) 699-6706
(407) 699-6706
Mailing address
PO BOX 650, WINTER PARK, FL 32790-0650
(407) 699-6706
(407) 699-6706
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N004176
NY
213E00000X
Podiatrist
Primary
PO1844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029647300
—
FL
Enumeration date
12/19/2005
Last updated
03/26/2025
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