Provider Demographics
NPI:1699098376
Name:TREVILLA, ANDREA VERONICA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:VERONICA
Last Name:TREVILLA
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9960 NW 116TH WAY STE 13
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1175
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:3200 SW 60TH CT STE 302
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4071
Practice Address - Country:US
Practice Address - Phone:954-371-0107
Practice Address - Fax:305-663-2813
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2021-09-30
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Provider Licenses
StateLicense IDTaxonomies
FL9101208363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant