OrganizationActive
Florida Maxillofacial and Reconstructive Surgery PA
NPI 1669111902 · Oral & Maxillofacial Surgery (D.M.D.) · Orlando, FL
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
Practice location
7350 Sandlake Commons Blvd Ste 2212a
Orlando, FL 32819-8031
Phone: (407) 463-9588
Fax: (949) 798-7844
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1112
Windermere, FL 34786-1112
Registry dates
- Enumerated
- 2022-06-03
- Last updated
- 2025-02-26
- Certified
- 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.