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MILDRED TAVERAS TREVETT MD PA NPI 1932133279


NPI Information

NPI: 1932133279
Provider Name: MILDRED TAVERAS TREVETT MD PA

Doing Business As: INTERNAL MEDICINE GRP OF CENTRAL FL DBA LAKE NONA MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
10437 MOSS PARK RD
ORLANDO, FL
ZIP 32832
Phone: (407) 802-1100
Get Directions

MILDRED TAVERAS TREVETT MD PA is an internal medicine in Orlando, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MILDRED TAVERAS TREVETT MD PA NPI is 1932133279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Internal Medicine Grp Of Central Fl Dba Lake Nona Medical Center.

The provider's business location address is:

10437 MOSS PARK RD
ORLANDO, FL
ZIP 32832
Phone: (407) 802-1100
Fax: (407) 802-1111

The provider's authorized official is David Trevett .
The authorized official title is Office Administrator and has the following contact phone number (407) 802-1102.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 3/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalistME73656FLORIDANo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141986YMEDICARE UPINFLORIDA
2K2040MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGRP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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