Active NPI
William Middleton, MD, Facs
- Surgery Physician
- Tavares, FL
National Provider Identifier
1174634182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 55063
- Legal business name
- WILLIAM MIDDLETON, MD, FACS
- Practice address
- 1934 Salk Ave
Tavares, FL 32778-4310 - Phone
- (352) 508-4830
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Middleton, MD
- Title
- Owner
- Phone
- (353) 508-4830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 55063 | FL | Primary |
Addresses
Primary practice location
1934 Salk Ave
Tavares, FL 32778-4310
Mailing address
PO Box 5
Mount Dora, FL 32756-0005
Phone (352) 508-4830
National Provider Directory
National Provider DirectoryLocations
1934 Salk Ave
Tavares, FL 32778
Phone (352) 508-4830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174634182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327560005",
"telephone_number": "352-508-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1934 SALK AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784310",
"telephone_number": "352-508-4830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM MIDDLETON, MD, FACS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "353-508-4830",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "55063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.