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Organization
SAND LAKE SURGICENTER LLC
Active
Organization
SAND LAKE SURGICENTER LLC
Active
Other names
Sand Lake Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL MODICA L.H.R.M. (ADMINISTRATOR)
(407) 264-9633
Entity
Organization
Contact information
Practice address
7477 SANDLAKE COMMONS BLVD, ORLANDO, FL 32819-8034
(407) 264-9633
(407) 264-9959
Mailing address
7477 SANDLAKE COMMONS BLVD, ORLANDO, FL 32819-8034
(407) 264-9633
(407) 264-9959
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1289
FL
Other
Enumeration date
02/01/2011
Last updated
10/05/2011
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