# MID FLORIDA ORTHO KISSIMMEE-ME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356854343
- **Authorized official:** JEFFREY KUGLER MD (DOCTOR)
- **Authorized official phone:** (800) 481-8260

## Contact information

- **Practice address:** 2571 W EAU GALLIE BLVD, MELBOURNE, FL 32935-8302
- **Practice address phone:** (800) 481-8260
- **Mailing address:** 1414 W GRANADA BLVD, ORMOND BEACH, FL 32174-8110
- **Mailing address phone:** (800) 481-8260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME64441 | FL | Yes |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 11/13/2017