# ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral and Facial Surgeons of Mid-FL, Oral & Facial Surgeons of Mid-Florida, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942410246
- **Authorized official:** JEFFREY L BEATTIE D.M.D. (PRESIDENT)
- **Authorized official phone:** (407) 774-3399

## Contact information

- **Practice address:** 1100 LUCERNE TER STE 100, ORLANDO, FL 32806-1050
- **Practice address phone:** (407) 843-1670
- **Practice address fax:** (407) 841-1827
- **Mailing address:** 195 BRIAR CLIFF DR STE 101, LONGWOOD, FL 32779-4443
- **Mailing address phone:** (407) 774-3399
- **Mailing address fax:** (407) 774-4322

## 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:** 05/23/2007
- **Last updated:** 10/05/2023