Organization Active NPI

Mid Florida Ortho Kissimmee-Me

  • Orthopaedic Surgery Physician
  • Melbourne, FL
National Provider Identifier
1356854343
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME64441 Issued in FL
Legal business name
MID FLORIDA ORTHO KISSIMMEE-ME
Practice address
2571 W Eau Gallie Blvd
Melbourne, FL 32935-8302
Phone
(800) 481-8260
NPI assigned
Nov 13, 2017
Last updated
Nov 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Kugler, MD
Title
Doctor
Phone
(800) 481-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME64441 FL Primary

Addresses

Primary practice location

2571 W Eau Gallie Blvd
Melbourne, FL 32935-8302

Mailing address

1414 W Granada Blvd
Ormond Beach, FL 32174-8110
Phone (800) 481-8260

National Provider Directory

National Provider Directory

Locations

1414 W Granada Blvd
Ormond Beach, FL 32174

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1356854343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748110",
            "telephone_number": "800-481-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 W EAU GALLIE BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358302",
            "telephone_number": "800-481-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA ORTHO KISSIMMEE-ME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "KUGLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "800-481-8260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME64441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.