Organization
LORDS MEDICAL GROUP
Active
Other names
Lords Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALLEN MIDDLETON D.C. (PRESIDENT)
(954) 771-3685
Entity
Organization
Contact information
Practice address
661 SW 3RD AVE, POMPANO BEACH, FL 33060-8384
(954) 771-3685
(954) 771-3685
Mailing address
661 SW 3RD AVE, POMPANO BEACH, FL 33060-8384
(954) 771-3685
(954) 771-3685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
551532
—
FL
Enumeration date
12/17/2020
Last updated
09/13/2021
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