Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trevisani Oral Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1699041285

Trevisani Oral Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Oviedo, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

1410 W Broadway St Ste 204
Oviedo, FL 32765-6456
Phone: (407) 366-2243
Fax: (407) 359-3343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence DN13576 (FL)

Record details

NPI number1699041285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Eagle — Administrator · (407) 886-2050
NPI enumeratedMarch 28, 2012
Last updated in NPPESMarch 28, 2012
Mailing address1410 W Broadway St, Suite 204, Oviedo, FL 32765-6456