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Organization

ORAL & MAXILLOFACIAL SURGEONS OF MID-FLORIDA, PA

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
Authorized official
JEFFREY L BEATTIE D.M.D. (PRESIDENT)
(407) 774-3399
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
05/23/2007
Last updated
10/05/2023
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