Stephanie Trevisan, AA-C | |
1901 Sw 172nd Ave, Miramar, FL 33029 | |
(954) 538-5000 | |
Not Available |
Full Name | Stephanie Trevisan |
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Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 1901 Sw 172nd Ave, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881920981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA38 (Florida) | Primary |
Entity Name | Sheridan Healthcorp Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Trevisan, AA-C 1613 N. Harrison Parkway, Suite 200, Mailstop Sh-9a, Sunrise, FL 33323-2896 Ph: (954) 838-2371 | Stephanie Trevisan, AA-C 1901 Sw 172nd Ave, Miramar, FL 33029 Ph: (954) 538-5000 |
Edward De Jesus Bolanos, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-838-2371 Fax: 954-851-1746 | |
Richard La Rosa, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 | |
Jose G Toca, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5171 | |
Pedro A Lorenzo Jr., AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-838-2371 | |
Jillian Nicole Sabates, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 Fax: 954-851-1758 | |
Fahim A. Siddiqui, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 | |
Allison Leigh Matis, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 Fax: 954-851-1758 |