ORLANDO MOGOLLON SA-C
NPI 1154952075
Specialist/Technologist, Other - Surgical Assistant in Lakeland, FL

Active since January 29, 2020
4560 WILLIAMSTOWN BLVD, LAKELAND, FL 33810(407) 535-0055 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Orlando Mogollon Sa-c NPPES

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

ORLANDO MOGOLLON SA-C (NPI 1154952075) is an individual surgical assistant in Lakeland, Florida, licensed in (16-461) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1154952075
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameORLANDO MOGOLLONCredential: SA-C
Location Address4560 WILLIAMSTOWN BLVDLakeland, FL 33810-2738
Mailing Address4560 Williamstown BlvdLakeland, FL 33810-2738 · (407) 535-0055
Sole ProprietorYes
Enumeration DateJanuary 29, 2020
NPI 1154952075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed · 16-461
Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

4560 WILLIAMSTOWN BLVD, Lakeland, FL 33810

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154952075, enumerated as an "individual" on January 29, 2020.

The provider is located at 4560 WILLIAMSTOWN BLVD LAKELAND, FL 33810 and the phone number is (407) 535-0055.

Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.