NPI 1669111902

Florida Maxillofacial and Reconstructive Surgery PA

Organisation Oral & Maxillofacial Surgery (D.M.D.) Orlando, FL

Practice location

Address: 7350 Sandlake Commons Blvd STE 2212a, Orlando, FL 32819-8031
Phone: (407) 463-9588
Fax: (949) 798-7844
Mailing address: PO Box 1112, Windermere, FL 34786-1112

Authorised official

Name: Terry Su
Title: Owner/Md
Phone: (407) 463-9588

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Florida →

Registry record

NPI: 1669111902
Entity type: Organization
NPI issued: 3 Jun 2022
Record last updated: 26 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.