NPI 1023485679

Sand Lake Cancer Center, PA

Organisation Specialist Orlando, FL

Practice location

Address: 7300 Sandlake Commons Blvd Suite 200, Orlando, FL 32819-8050
Phone: (407) 351-1002
Fax: (407) 745-3101
Mailing address: 7301 Stonerock Cir Suite 2, Orlando, FL 32819-8004

Authorised official

Name: Asha N Jiawan
Title: Practice Administrator
Phone: (407) 351-1002

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME73340 (FL)

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Registry record

NPI: 1023485679
Entity type: Organization
NPI issued: 31 Aug 2015
Record last updated: 31 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.