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

Individual provider Surgical Assistant · NPI 1154952075

Orlando Mogollon, SA-C is a Surgical Assistant in Lakeland, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

4560 Williamstown Blvd
Lakeland, FL 33810-2738
Phone: (407) 535-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 16-461

Record details

NPI number1154952075
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedJanuary 29, 2020
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

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