MEDICARE: VICTORIA JEAN TREIBER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	64203	CA

General Provider Information

NPI Number	:	1003683590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA JEAN TREIBER

Provider Business Mailing Address
First Line	:	6057 LAKE POINTE DR APT 410
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-3790
Country	:	US
Telephone Number	:	407-952-1903
Fax Number	:

Provider Business Practice Location Address
First Line	:	6057 LAKE POINTE DR APT 410
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-3790
Country	:	US
Telephone Number	:	407-952-1903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2023
Last Update Date	:	01/21/2026

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