Organization
SAND LAKE SURGERY CENTER, LP
Active
Other names
SAND LAKE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL MODICA (ADMINISTRATOR)
(407) 264-9633
Entity
Organization
Contact information
Practice address
7477 SAND LAKE COMMONS BLVD, ORLANDO, FL 32819-8034
(407) 264-9633
(407) 264-9959
Mailing address
7477 SAND LAKE 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
—
FL
Other
Enumeration date
08/28/2007
Last updated
03/31/2010
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