Individual
STEPHANIE TREVISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
1901 SW 172ND AVE, MIRAMAR, FL 33029
(954) 538-5000
Mailing address
1613 N. HARRISON PARKWAY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA38
FL
Other
Enumeration date
10/23/2009
Last updated
01/22/2015
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