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FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA NPI 1669111902


NPI Information

NPI: 1669111902
Provider Name: FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
7350 SANDLAKE COMMONS BLVD STE 2225A
ORLANDO, FL
ZIP 32819
Phone: (407) 463-9588
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FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA is an oral maxillofacial surgery in Orlando, FL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA NPI is 1669111902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7350 SANDLAKE COMMONS BLVD STE 2225A
ORLANDO, FL
ZIP 32819-031
Phone: (407) 463-9588
Fax: (949) 798-7844

The provider's authorized official is Terry Su .
The authorized official title is Owner/md and has the following contact phone number (407) 463-9588.

The enumeration date for this NPI number is 6/3/2022 and was last updated on 12/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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