| NPI | 1336445873 |
|---|---|
| Doing Business As | SAND LAKE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CHERYL MODICA Administrator 407-264-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1289) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-10-05 |