Lake Ellenor Medical Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKE ELLENOR MEDICAL CENTER LLC

Practice address

7200 Lake Ellenor Dr Ste 243
Orlando, FL 32809-5788

Phone

(407) 704-6591

NPI assigned

Feb 26, 2026

Organization subpart

No

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

Authorized official

Name

Sanford Mark, DC

Title

Owner

Phone

(352) 250-1679

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1043164817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 LAKE ELLENOR DR STE 243",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095788",
            "telephone_number": "407-704-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 LAKE ELLENOR DR STE 243",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095788",
            "telephone_number": "407-704-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ELLENOR MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-250-1679",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.