Organization Active NPI

William Middleton, MD, Facs

  • Surgery Physician
  • Tavares, FL
National Provider Identifier
1174634182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
55063 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.