Organization Active NPI

Surgical Institute of Central Florida LLC

  • Ambulatory Surgical Clinic/Center
  • Winter Garden, FL
National Provider Identifier
1326877689
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Mar 25, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2315347The Surgical Institute of Central Florida LLC12363 W Colonial Dr, Winter Garden, FL 34787Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.