ORAL AND FACIAL SURGERY OF FLORIDA, INC.; NPI #1760722474

Contact Information

ORAL AND FACIAL SURGERY OF FLORIDA, INC.

19051 US HIGHWAY 441
SUITE 104
MOUNT DORA, FL 32757-6708

Phone: 407-756-7172
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for ORAL AND FACIAL SURGERY OF FLORIDA, INC.

NPI # 1760722474

LBN Legal business name ORAL AND FACIAL SURGERY OF FLORIDA, INC.

Authorized official ABDUL AZIZI - (OWNER/SURGEON)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/18/2013

Last updated 02/18/2013 - About 13 years ago

Identifiers

License #

DN15621

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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