# ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral & Facial Surgeons of Mid-FL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700053881
- **Authorized official:** DR. JEFFREY BEATTIE DMD (OWNER)
- **Authorized official phone:** (407) 843-1670

## Contact information

- **Practice address:** 1100 LUCERNE TER, SUITE 100, ORLANDO, FL 32806-1050
- **Practice address phone:** (407) 843-1670
- **Practice address fax:** (407) 841-1827
- **Mailing address:** 1573 W FAIRBANKS AVE, SUITE 300, WINTER PARK, FL 32789-4679
- **Mailing address phone:** (407) 644-0224
- **Mailing address fax:** (407) 644-2827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/08/2008