Sand Lake Cancer Center

LBN: Sand Lake Cancer Center
Sand Lake Cancer Center is an health care organization with primary practice located at 7301 Stonerock Circle , Orlando FL 32819. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Oncology, Ambulatory Health Care Facilities / Infusion Therapy. Ambulatory Health Care Facilities / Infusion Therapy is the primary health care specialty. Sand Lake Cancer Center can be contacted via phone (407) 351-1002, or through Jiawan, Asha via phone (407) 351-1002.

Contact Information

Primary practice address
7301 Stonerock Circle Orlando FL 32819
Fax: (407) 351-1096
Website:
Authorized official contact:
Name: Jiawan, Asha

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Oncology 1835X0200X BH4500460 Florida
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X Florida

Profile Details

NPI number 1821028804
LBN Legal business name Sand Lake Cancer Center
DBA Doing business as
Authorized official Jiawan, Asha
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 4th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821028804 NPPES
Florida MEDICAID 255280900

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