Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Mary Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1174530752

Lake Mary Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

460 Saint Charles Ct
Lake Mary, FL 32746-2103
Phone: (407) 585-0260
Fax: (407) 585-0264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 1204 (FL)

Record details

NPI number1174530752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Baldock — Officer And Authorized Official · (615) 234-5954
NPI enumeratedAugust 3, 2006
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address460 Saint Charles Ct, Lake Mary, FL 32746-2103

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