Sand Lake Surgery Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAND LAKE SURGERY CENTER, LP

Practice address

7477 Sand Lake Commons Blvd
Orlando, FL 32819-8034

Phone

(407) 264-9633

Fax

(407) 264-9959

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Modica

Title

Administrator

Phone

(407) 264-9633

Specialties & licenses 1

Addresses

Other names 1

• SAND LAKE SURGERY CENTER Other name

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1457545980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 SAND LAKE COMMONS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198034",
            "telephone_number": "407-264-9633",
            "fax_number": "407-264-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 SAND LAKE COMMONS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198034",
            "telephone_number": "407-264-9633",
            "fax_number": "407-264-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND LAKE SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "MODICA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-264-9633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAND LAKE SURGERY CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sand Lake Health
• Sand Lake Imaging LLLP
• Sand Lake Internal Medicine, LLC
• Sand Lake Medical Associates, P.a.
• Sand Lake Rehab & Wellness Center Inc
• Sand Lake Surgicenter LLC
• Leslie H Sand, PA-C
• Mark E Sand, M.D.
• Miriam R. Sanderlin, ARNP
• Scott Donald Sanderlin, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.