Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid Florida Ortho Daytona LLC

Organization Orthopaedic Surgery Physician · NPI 1639682628

Mid Florida Ortho Daytona LLC is an Orthopaedic Surgery Physician in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1414 W Granada Blvd Ste 3
Ormond Beach, FL 32174-8104
Phone: (800) 481-8260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME64441 (FL)

Record details

NPI number1639682628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Kugler — Doctor · (800) 481-8260
NPI enumeratedNovember 13, 2017
Last updated in NPPESNovember 13, 2017
Mailing address1414 W Granada Blvd Ste 3, Ormond Beach, FL 32174-8104

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