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SAND LAKE CANCER CENTER DISPENSARY
NPI 1023485679
Specialist in Orlando, FL

Active since August 31, 2015CLIA 10D1047870 · Accreditation
7300 SANDLAKE COMMONS BLVD, SUITE 200, ORLANDO, FL 32819(407) 351-1002(407) 745-3101 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sand Lake Cancer Center Dispensary NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAND LAKE CANCER CENTER DISPENSARY (NPI 1023485679) is a healthcare organization registered as a specialist in Orlando, Florida and active in the NPI registry since August 2015. The organization holds an CLIA Accreditation certificate valid through November 10, 2026 and lists Asha N Jiawan, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1023485679
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSAND LAKE CANCER CENTER, PA
Location Address7300 SANDLAKE COMMONS BLVD, SUITE 200Orlando, FL 32819-8050
Mailing Address7301 Stonerock Cir, Suite 2Orlando, FL 32819-8004 · (407) 351-1002 · Fax (407) 745-3101
Phone(407) 351-1002
Fax(407) 745-3101
Organization SubpartNo
Authorized OfficialAsha N JiawanPractice Administrator · (407) 351-1002
Enumeration DateAugust 31, 2015
✔ NPI 1023485679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME73340
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7300 SANDLAKE COMMONS BLVD, Orlando, FL 32819
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Other Names 1

Doing Business AsSand Lake Cancer Center Dispensary

Other Identifiers 1

Medicare PINK9074FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D1047870

Sand Lake Cancer Center PA · Orlando, FL
Active · expires Nov 10, 2026
CLIA Number10D1047870
Laboratory TypePhysician Office
Certificate Effective DateNovember 11, 2024
Certificate Expiration DateNovember 10, 2026
Laboratory DirectorVinicio Hernandez
Laboratory Phone(407) 351-1002
Laboratory LocationSand Lake Cancer Center PA7301 Stonerock Circle Suite 1, Orlando, FL 32819
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIABETES AND ENDOCRINE CENTER OF
Specialist
7300 SANDLAKE COMMONS BLVD, SUITE# 112
ORLANDO, FL 32819
Orange County (407) 248-9990
DR. JOHN L MEISENHEIMER MD
Dermatology (MOHS-Micrographic Surgery)
7300 SANDLAKE COMMONS BLVD, SUITE 105
ORLANDO, FL 32819
Orange County (407) 352-2444
JAMES A. MATAS M.D., P.A.
Specialist
7300 SANDLAKE COMMONS BLVD, SUITE 100
ORLANDO, FL 32819
Orange County (407) 345-8145
IVF ORLANDO, INC
Obstetrics & Gynecology
7300 SANDLAKE COMMONS BLVD, SUITE 227
ORLANDO, FL 32819
Orange County (407) 345-9006
DR. SALAH UD DIN M.D.
Internal Medicine (Cardiovascular Disease)
7300 SANDLAKE COMMONS BLVD, SUITE 321
ORLANDO, FL 32819
Orange County (407) 351-8222
DR. JAMES A MATAS M.D.
Specialist
7300 SANDLAKE COMMONS BLVD, STE 100
ORLANDO, FL 32819
Orange County (407) 345-8145
DR. OSWALD T SAAVEDRA MD
Internal Medicine
7300 SANDLAKE COMMONS BLVD, STE 315
ORLANDO, FL 32819
Orange County (407) 849-0227
LINDA GRANT LMHC
Counselor (Mental Health)
7300 SANDLAKE COMMONS BLVD, SUITE 315
ORLANDO, FL 32819
Orange County (407) 849-0227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sand Lake Cancer Center, PA's NPI number?

The NPI number for Sand Lake Cancer Center, PA is 1023485679. It was assigned to this organization in the NPPES registry on August 31, 2015. The provider is doing business as Sand Lake Cancer Center Dispensary.

Where is Sand Lake Cancer Center, PA located?

Sand Lake Cancer Center, PA is located at 7300 Sandlake Commons Blvd Suite 200, Orlando, FL 32819. The listed phone number is (407) 351-1002.

What is Sand Lake Cancer Center, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Sand Lake Cancer Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D1047870) is associated with this NPI, valid through November 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sand Lake Cancer Center, PA was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.