Male or Other

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)

Code

363AM0700X

Primary Taxonomy

Yes

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

Provider Address

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