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

Sand Lake Surgicenter LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1336445873

Sand Lake Surgicenter LLC is an Ambulatory Surgical Clinic/Center in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

7477 Sandlake Commons Blvd
Orlando, FL 32819-8034
Phone: (407) 264-9633
Fax: (407) 264-9959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 1289 (FL)

Record details

NPI number1336445873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Modica — Administrator · (407) 264-9633
Other names Sand Lake Surgery Center
NPI enumeratedFebruary 1, 2011
Last updated in NPPESOctober 5, 2011
Mailing address7477 Sandlake Commons Blvd, Orlando, FL 32819-8034

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