Sandlake Family Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SANDLAKE FAMILY CARE PA

Practice address

7364 Stonerock Cir
Ste B
Orlando, FL 32819-8000

Phone

(407) 352-8188

Fax

(407) 351-9057

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ghyeath Ayoubi, M.D.

Title

President

Phone

(407) 352-8188

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nasirdin Madhany, MD

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1316991516
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1881882991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690871",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328690871",
            "telephone_number": "407-352-8188",
            "fax_number": "407-351-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7364 STONEROCK CIR",
            "address_2": "STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-352-8188",
            "fax_number": "407-351-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDLAKE FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "AYOUBI",
        "authorized_official_first_name": "GHYEATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-352-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION",
            "identifier": "K4707",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377305101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John David Sanderson, DO
• Lauren Pitstick Sanderson
• Robert Haynes Sanderson III, D.C.
• Samantha Sanderson
• Johnny Boyd Sandifer, D.M.D.
• Sandlake Health & Wellness Center LLC
• Sandlake-Ability Health Services Inc
• Richard H. Sandler, MD
• Kimberly Noble Sandlin, AU.D.
• Alicia Sandoval

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.