Sandlake Health & Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SANDLAKE HEALTH & WELLNESS CENTER LLC

Practice address

2345 Sand Lake Rd
Suite 300
Orlando, FL 32809-9142

Phone

(407) 851-5121

Fax

(407) 851-0439

NPI assigned

Aug 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sangeetha Polasa

Title

M.D.

Phone

(407) 851-5121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1447507496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 SAND LAKE RD",
            "address_2": "SUITE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328099142",
            "telephone_number": "407-851-5121",
            "fax_number": "407-851-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 SAND LAKE RD",
            "address_2": "SUITE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328099142",
            "telephone_number": "407-851-5121",
            "fax_number": "407-851-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDLAKE HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "POLASA",
        "authorized_official_first_name": "SANGEETHA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "407-851-5121",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Pitstick Sanderson
• Robert Haynes Sanderson III, D.C.
• Samantha Sanderson
• Johnny Boyd Sandifer, D.M.D.
• Sandlake Family Care PA
• Sandlake-Ability Health Services Inc
• Richard H. Sandler, MD
• Kimberly Noble Sandlin, AU.D.
• Alicia Sandoval
• Javier E Sandoval, D.O.

• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.