Sand Lake Rehab & Wellness Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC9064 Issued in FL

Legal business name

SAND LAKE REHAB & WELLNESS CENTER INC

Practice address

1650 Sand Lake Rd
Ste. 255
Orlando, FL 32809-7681

Phone

(407) 704-5518

Fax

(407) 704-5526

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Eradio Sosa

Title

President

Phone

(407) 704-5518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1447559570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD",
            "address_2": "STE. 255",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097681",
            "telephone_number": "407-704-5518",
            "fax_number": "407-704-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD",
            "address_2": "STE. 255",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097681",
            "telephone_number": "407-704-5518",
            "fax_number": "407-704-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND LAKE REHAB & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "ERADIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-704-5518"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sand Lake Dermatology Center, P.a.
• Sand Lake Health
• Sand Lake Imaging LLLP
• Sand Lake Internal Medicine, LLC
• Sand Lake Medical Associates, P.a.
• Sand Lake Surgery Center, LP
• Sand Lake Surgicenter LLC
• Leslie H Sand, PA-C
• Mark E Sand, M.D.
• Miriam R. Sanderlin, ARNP

• 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 Mar 15, 2011; 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.