Active NPI
Orange Avenue Surgery Center, LLC
Doing business as Orange Avenue Surgery Center
- Ambulatory Surgical Clinic/Center
- Orlando, FL
National Provider Identifier
1790442895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ORANGE AVENUE SURGERY CENTER, LLC
- Doing business as
- Orange Avenue Surgery Center
- Practice address
- 1405 S Orange Ave Ste 120
Orlando, FL 32806-2147 - Phone
- (321) 228-6700
- NPI assigned
- Nov 23, 2021
- Last updated
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Mihalic
- Title
- VP
- Phone
- (321) 300-0555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1405 S Orange Ave Ste 120
Orlando, FL 32806-2147
Mailing address
1405 S Orange Ave Ste 120
Orlando, FL 32806-2147
Phone (321) 228-6700
Other names 1
- Orange Avenue Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220809003746 | FL | Part B Supplier - Ambulatory Surgical Center | 4284016171 | Practice locations: Orlando, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Orange Ave Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2266542 | Orange Avenue Surgery Center, LLC | Certificate of waiver | Aug 10, 2026 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1790442895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 S ORANGE AVE STE 120",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062147",
"telephone_number": "321-228-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S ORANGE AVE STE 120",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062147",
"telephone_number": "321-228-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE AVENUE SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-23",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "MIHALIC",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "321-300-0555"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orange Avenue Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
- Kathleen Oramas
- Orange Anesthesia Associates, Inc.
- Orange Ave Consulting
- Orange Avenue Dentistry, Inc.
- Orange Avenue Dentistry, PLLC
- Orange Avenue Surgical Suite, LLC (Oasis)
- Orange Behavioral Health LLC
- Orange Blossom Injury, Health and Wellness, LLC
- Orange Counseling, PLLC
- Orange County Anesthesia Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.