Organization
SAND LAKE CANCER CENTER, PA
Active
Other names
Sand Lake Cancer Center Dispensary
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHA N JIAWAN (PRACTICE ADMINISTRATOR)
(407) 351-1002
Entity
Organization
Contact information
Practice address
7300 SANDLAKE COMMONS BLVD, SUITE 200, ORLANDO, FL 32819-8050
(407) 351-1002
(407) 745-3101
Mailing address
7301 STONEROCK CIR, SUITE 2, ORLANDO, FL 32819-8004
(407) 351-1002
(407) 745-3101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME73340
FL
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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