Individual
MICHAEL A MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E MARKS ST, ORLANDO, FL 32803-3819
(407) 284-6460
(407) 284-6461
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 284-6460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME82661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003456500
—
FL
01
—
M8465
FL MEDICARE
FL
Enumeration date
01/13/2006
Last updated
11/16/2020
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