Provider Demographics
NPI:1548573488
Name:MIDFLORIDA ORTHOPAEDIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:MIDFLORIDA ORTHOPAEDIC ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHAD
Authorized Official - Last Name:LAMOREAUX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-877-2880
Mailing Address - Street 1:42719 HIGHWAY 27
Mailing Address - Street 2:STE 103
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-6821
Mailing Address - Country:US
Mailing Address - Phone:863-877-2880
Mailing Address - Fax:863-420-6723
Practice Address - Street 1:42719 HIGHWAY 27
Practice Address - Street 2:STE 103
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-6821
Practice Address - Country:US
Practice Address - Phone:863-877-2880
Practice Address - Fax:863-420-6723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty