SAND LAKE SURGICENTER LLC NPI 1336445873

NPI Details

SAND LAKE SURGICENTER LLC is an ambulatory surgical clinic center in Orlando, FL. SAND LAKE SURGICENTER LLC NPI is 1336445873. The provider is registered as an organization entity type.
The provider Is Doing Business As Sand Lake Surgery Center.

The provider's business location address is:

7477 SANDLAKE COMMONS BLVD
ORLANDO, FL
ZIP 32819-034
Phone: (407) 264-9633
Fax: (407) 264-9959

The provider's authorized official is Cheryl Modica .
The authorized official title is Administrator and has the following contact phone number (407) 264-9633.

The CLIA number assigned to this NPI record is 10D1080722 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Repair of tendon of upper eyelid (HCPCS:67904)
• Repair of brow paralysis (HCPCS:67900)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Repair of groin hernia using an endoscope (HCPCS:49650)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Incision of tendon covering of finger (HCPCS:26055)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Partial removal of breast (HCPCS:19301)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Removal of knee cartilage using an endoscope (HCPCS:29881)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
• Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 2/1/2011 and was last updated on 10/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: