MEDICARE: DR. TRELVIS L RAGIN SALLET M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	MD485538	PA
2	207L00000X	Anesthesiology Physician	100976	GA
3	207L00000X	Anesthesiology Physician	2026-01356	NC
4	207L00000X	Anesthesiology Physician	ME70971	FL
5	207L00000X	Anesthesiology Physician	W0465	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	050078244	OTHER		RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	31409	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1801870852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRELVIS L RAGIN SALLET M.D.

Provider Business Mailing Address
First Line	:	11501 LAKE LUCAYA DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33579-4108
Country	:	US
Telephone Number	:	813-507-0120
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 W DR MARTIN LUTHER KING JR BLVD
Second Line	:	AMERICAN ANESTHESIOLOGY ASSOCIATES OF FLORIDA, INC
City	:	TAMPA
State	:	FL
Zip	:	33607-6307
Country	:	US
Telephone Number	:	813-350-7244
Fax Number	:	813-350-7246

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	05/01/2026