Active NPI
Valleygate Surgery Center Orlando LLC
- Ambulatory Surgical Clinic/Center
- Orlando, FL
National Provider Identifier
1164381216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- VALLEYGATE SURGERY CENTER ORLANDO LLC
- Practice address
- 1405 S Orange Ave
Orlando, FL 32806-2154 - Phone
- (910) 485-7070
- NPI assigned
- Jan 15, 2026
- Last updated
- Jan 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Kennerson
- Title
- Strategic Development
- Phone
- (910) 485-7070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Anesthesiology Physician | 207L00000X |
Addresses
Primary practice location
1405 S Orange Ave
Orlando, FL 32806-2154
Mailing address
2028 Litho PL
Fayetteville, NC 28304-2537
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1164381216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 LITHO PL",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062154",
"telephone_number": "910-485-7070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEYGATE SURGERY CENTER ORLANDO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-15",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A",
"authorized_official_last_name": "KENNERSON",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "STRATEGIC DEVELOPMENT",
"authorized_official_telephone_number": "910-485-7070"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.