Organization
MID FLORIDA ORTHO DAYTONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KUGLER MD (DOCTOR)
(800) 481-8260
Entity
Organization
Contact information
Practice address
1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL 32174-8104
(800) 481-8260
Mailing address
1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL 32174-8104
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME64441
FL
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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