Sand Lake Cancer Center, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME73340 Issued in FL

Legal business name

SAND LAKE CANCER CENTER, PA

Practice address

7300 Sandlake Commons Blvd
Suite 200
Orlando, FL 32819-8050

Phone

(407) 351-1002

Fax

(407) 745-3101

NPI assigned

Aug 31, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Asha N Jiawan

Title

Practice Administrator

Phone

(407) 351-1002

Specialties & licenses 1

Addresses

Other names 1

• Sand Lake Cancer Center Dispensary Doing business as

Tax ID family

Sand Lake Cancer Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sand Lake Cancer Center, PA

  • Medical Physician Assistant
  • Orlando, FL
  • NPI 1609278597
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1023485679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 STONEROCK CIR",
            "address_2": "SUITE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198004",
            "telephone_number": "407-351-1002",
            "fax_number": "407-745-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198050",
            "telephone_number": "407-351-1002",
            "fax_number": "407-745-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND LAKE CANCER CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "JIAWAN",
        "authorized_official_first_name": "ASHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-351-1002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME73340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sand Lake Cancer Center Dispensary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor D Sanchez, M.D.
• Xiomara Sanchez, MHC
• Yuliana Makareth Sanchez
• Sanctuary Therapy & Wellness PLLC
• Sand Lake Cancer Center
• Sand Lake Cancer Center, PA
• Sand Lake Dermatology Center, P.a.
• Sand Lake Health
• Sand Lake Imaging LLLP
• Sand Lake Internal Medicine, LLC

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.