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 |