Mr. Trey Sowards PA-C
Medical Physician Assistant in Melbourne, FL(View on Map)
Full Name
Mr. Trey Sowards PA-C
NPI Number
1376212589
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/10/2021
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PAT9114935
Contact
Information
Purpose
Mailing
Location
Address
3300 S FISKE BLVD
1350 HICKORY ST
City
Rockledge
Melbourne
State
FL
FL
Postal Code
32955-4306
32901-3224
Country
US
US
Telephone Number
(321) 361-5622
(321) 434-5622
Identifiers
Identifier
112067000
OE643
Identifier State
FL
FL
Identifier Issuer
Unknown
HF MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/20/2021