Surgical Center at Sun N Lake L L C

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL CENTER AT SUN N LAKE L L C

Practice address

4240 Sun N Lake Blvd
Suite 100
Sebring, FL 33872-1986

Phone

(863) 382-2622

Fax

(863) 385-2266

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bahram Ahmadi, MD

Title

Board of Managers President

Phone

(973) 715-7915

Specialties & licenses 1

Addresses

Other names 1

• Surgical Center at Sun n Lake Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eustus Stephen Nelson, MD

  • Urology Physician
  • Sebring, FL
  • NPI 1417957507
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1063675734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 SEBRING PKWY",
            "address_2": "PMB 30",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701699",
            "telephone_number": "863-382-2622",
            "fax_number": "863-385-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 SUN N LAKE BLVD",
            "address_2": "SUITE 100",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721986",
            "telephone_number": "863-382-2622",
            "fax_number": "863-385-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CENTER AT SUN N LAKE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "BAHRAM",
        "authorized_official_title_or_position": "BOARD OF MANAGERS PRESIDENT",
        "authorized_official_telephone_number": "973-715-7915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Center at Sun n Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunnyvale Medical Transport LLC
• Sunshine Surgical Partners LLC
• Support Solutions Inc
• Surgery Center on 27 LLC
• Surgical Center at Sun N Lake Anesthesia, LLC
• Surgical Center of Central FL, Inc.
• Jeani Renee' Swartz, LMT
• Bonita Justina Sykes
• Synergy ABA Central Inc
• Synergy of Minds Inc.

• Ambulatory Surgical Clinic/Center in Sebring, FL
• Providers in Sebring, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.