Florida Maxillofacial and Reconstructive Surgery PA
NPI 1669111902 · Oral & Maxillofacial Surgery (D.M.D.) · Orlando, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Florida Maxillofacial and Reconstructive Surgery PA is a Oral & Maxillofacial Surgery (D.M.D.) organization in Orlando, FL (NPI 1669111902).
Provider details
- NPI number
- 1669111902
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terry Su, Owner/Md(407) 463-9588
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-03
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Frequently asked questions
- What is Florida Maxillofacial and Reconstructive Surgery PA's NPI number?
- Florida Maxillofacial and Reconstructive Surgery PA's National Provider Identifier (NPI) is 1669111902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Florida Maxillofacial and Reconstructive Surgery PA?
- Florida Maxillofacial and Reconstructive Surgery PA is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Florida Maxillofacial and Reconstructive Surgery PA located?
- Florida Maxillofacial and Reconstructive Surgery PA's practice location on file with NPPES is 7350 Sandlake Commons Blvd Ste 2212a, Orlando, FL 32819-8031.
- What is Florida Maxillofacial and Reconstructive Surgery PA's phone number?
- The practice phone number listed in the NPPES registry for Florida Maxillofacial and Reconstructive Surgery PA is (407) 463-9588.
- Does Florida Maxillofacial and Reconstructive Surgery PA accept Medicare?
- Florida Maxillofacial and Reconstructive Surgery PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Florida Maxillofacial and Reconstructive Surgery PA?
- The authorized official listed on Florida Maxillofacial and Reconstructive Surgery PA's NPPES record is Terry Su, Owner/Md. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Florida Maxillofacial and Reconstructive Surgery PA's NPI active?
- Yes — Florida Maxillofacial and Reconstructive Surgery PA's NPI (1669111902) is active in the NPPES registry as of the last update on 2025-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.