Provider Demographics
NPI:1942839386
Name:OWENS, TREVOR ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:ALLAN
Last Name:OWENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 MIZELL AVE STE 1600
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-4126
Mailing Address - Country:US
Mailing Address - Phone:407-646-7380
Mailing Address - Fax:
Practice Address - Street 1:2005 MIZELL AVE STE 1600
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4126
Practice Address - Country:US
Practice Address - Phone:407-646-7380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME160781207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine