Organization Active NPI

Oral and Facial Surgery of Florida, Inc.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Mount Dora, FL
National Provider Identifier
1760722474
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DN15621 Issued in FL
Legal business name
ORAL AND FACIAL SURGERY OF FLORIDA, INC.
Practice address
19051 US Highway 441
Suite 104
Mount Dora, FL 32757-6708
Phone
(407) 756-7172
NPI assigned
Feb 18, 2013
Last updated
Feb 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Dr. Abdul Majid Azizi, D.M.D.NPI 1053329995
Title
Owner/Surgeon
Phone
(407) 756-7172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DN15621 FL Primary

Addresses

Primary practice location

19051 US Highway 441
Suite 104
Mount Dora, FL 32757-6708

Mailing address

801 Champion Woods CT
Sanford, FL 32771-7164
Phone (407) 756-7172

National Provider Directory

National Provider Directory

Locations

924 Williston Park Pt
Lake Mary, FL 32746
Phone (407) 624-5113

19051 US Highway 441
Ste 100
Mount Dora, FL 32757
Phone (352) 735-5005

19051 US Highway 441
Ste 104
Mount Dora, FL 32757
Phone (407) 756-7172

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1760722474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CHAMPION WOODS CT",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717164",
            "telephone_number": "407-756-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19051 US HIGHWAY 441",
            "address_2": "SUITE 104",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576708",
            "telephone_number": "407-756-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND FACIAL SURGERY OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "MAJID",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "407-756-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.