Active NPI
Surgical Institute of Central Florida LLC
- Ambulatory Surgical Clinic/Center
- Winter Garden, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGICAL INSTITUTE OF CENTRAL FLORIDA LLC
- Practice address
- 12363 W Colonial Dr Ste 100
Winter Garden, FL 34787-4186 - Phone
- (407) 347-4044
- Fax
- (407) 347-2799
- NPI assigned
- Jul 26, 2024
- 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
- Patrick Wik
- Title
- Coo
- Phone
- (407) 347-4044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
12363 W Colonial Dr Ste 100
Winter Garden, FL 34787-4186
Mailing address
12363 W Colonial Dr Ste 100
Winter Garden, FL 34787-4186
Phone (407) 347-4044
Other names 1
- The Surgical Institute of Central Florida
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250204002695 | FL | Part B Supplier - Ambulatory Surgical Center | 4880124965 | Practice locations: Winter Garden, FL |
Ambulatory surgical center certification: CCN 10C0001764
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SURGICAL INSTITUTE OF CENTRAL FLORIDA
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jun 10, 2025
- Last certification
- May 8, 2025
- Ownership / control type
- Proprietary
- Facility address
- 12363 W Colonial Dr
Winter Garden, FL 34787
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2315347 | The Surgical Institute of Central Florida LLC | Certificate of waiver | Dec 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
12363 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 280-0887
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Winter Garden, FL
- NPI 1962706606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1326877689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12363 W COLONIAL DR STE 100",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874186",
"telephone_number": "407-347-4044",
"fax_number": "407-347-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12363 W COLONIAL DR STE 100",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874186",
"telephone_number": "407-347-4044",
"fax_number": "407-347-2799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL INSTITUTE OF CENTRAL FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-26",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "WIK",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "407-347-4044"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Surgical Institute of Central Florida",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.