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

Sand Lake Cancer Center, PA

Organization Specialist · NPI 1609278597

Sand Lake Cancer Center, PA is a Specialist in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7301 Stonerock Cir Ste 2
Orlando, FL 32819-8004
Phone: (407) 351-1002
Fax: (407) 351-1119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9106328 (FL)
Specialist Taxonomy 174400000X · Licence ME73340 (FL)
Specialist Taxonomy 174400000X · Licence ME76724 (FL)
Specialist Taxonomy 174400000X · Licence ME116521 (FL)

Record details

NPI number1609278597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asha Jiawan — Practice Administrator · (407) 351-1002
Other names Sand Lake Cancer Center Dispensary
NPI enumeratedSeptember 23, 2014
Last updated in NPPESNovember 11, 2022
Certification dateMay 9, 2022
Mailing address7301 Stonerock Cir, Suite 2, Orlando, FL 32819-8004

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