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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