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Organization

LAKE ELLENOR MEDICAL CENTER LLC

Active
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Organization

LAKE ELLENOR MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANFORD MARK DC (OWNER)
(352) 250-1679
Entity
Organization

Contact information

Practice address
7200 LAKE ELLENOR DR STE 243, ORLANDO, FL 32809-5788
(407) 704-6591
Mailing address
7200 LAKE ELLENOR DR STE 243, ORLANDO, FL 32809-5788
(407) 704-6591

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—

Other

Enumeration date
02/26/2026
Last updated
02/26/2026
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