Sand Lake Health

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SAND LAKE HEALTH

Practice address

8751 Commodity Cir Ste 4
Orlando, FL 32819-9027

Phone

(321) 418-8005

Fax

(844) 693-3406

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khizar Malik, MD

Title

Ceo

Phone

(407) 279-8470

Specialties & licenses 1

Addresses

Other names 1

• Sand Lake Health Other name

Locations

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1730759937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 COMMODITY CIR STE 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199027",
            "telephone_number": "321-418-8005",
            "fax_number": "844-693-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 COMMODITY CIR STE 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199027",
            "telephone_number": "321-418-8005",
            "fax_number": "844-693-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND LAKE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "KHIZAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-279-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sand Lake Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sanctuary Therapy & Wellness PLLC
• Sand Lake Cancer Center
• Sand Lake Cancer Center, PA (Sand Lake Cancer Center Dispensary)
• Sand Lake Cancer Center, PA (Sand Lake Cancer Center Dispensary)
• Sand Lake Dermatology Center, P.a.
• Sand Lake Imaging LLLP
• Sand Lake Internal Medicine, LLC
• Sand Lake Medical Associates, P.a.
• Sand Lake Rehab & Wellness Center Inc
• Sand Lake Surgery Center, LP

• Neurology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.