Provider Demographics
NPI:1689752958
Name:JORGE L. FLORIN, M.D., P.A.
Entity Type:Organization
Organization Name:JORGE L. FLORIN, M.D., P.A.
Other - Org Name:MID-FLORIDA SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:FLORIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-521-3600
Mailing Address - Street 1:1804 OAKLEY SEAVER DR STE A
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1925
Mailing Address - Country:US
Mailing Address - Phone:407-521-3600
Mailing Address - Fax:407-521-3603
Practice Address - Street 1:1804 OAKLEY SEAVER DR
Practice Address - Street 2:SUITE A
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1925
Practice Address - Country:US
Practice Address - Phone:352-243-2622
Practice Address - Fax:352-243-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252331101Medicaid
FL21364AMedicare ID - Type UnspecifiedLAKE COUNTY GROUP NUMBER