| NPI | 1457545980 |
|---|---|
| Other Name | 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 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2010-03-31 |