LAKE MARY SURGERY CENTER LLC
NPI 1174530752
Clinic/Center - Ambulatory Surgical in Lake Mary, FL

Q: What is Lake Mary Surgery Center LLC's NPI number?

The NPI number for Lake Mary Surgery Center LLC is 1174530752. It was assigned to this organization in the NPPES registry on August 3, 2006.

Q: What is Lake Mary Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since August 03, 2006CLIA 10D1022825 · Waiver

460 SAINT CHARLES CT, LAKE MARY, FL 32746(407) 585-0260(407) 585-0264 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lake Mary Surgery Center Llc NPPES

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

LAKE MARY SURGERY CENTER LLC (NPI 1174530752) is a healthcare organization registered as an ambulatory surgical in Lake Mary, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1174530752

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLAKE MARY SURGERY CENTER LLC

Location Address460 SAINT CHARLES CTLake Mary, FL 32746-2103

Mailing Address460 Saint Charles CtLake Mary, FL 32746-2103 · (407) 585-0260 · Fax (407) 585-0264

Phone(407) 585-0260

Fax(407) 585-0264

Organization SubpartNo

Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954

Enumeration DateAugust 3, 2006

Last NPPES UpdateFebruary 21, 2023

NPPES CertifiedFebruary 21, 2023

✔ NPI 1174530752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in FL · 1204

460 SAINT CHARLES CT, Lake Mary, FL 32746

Open in Google Maps ↗

Other Identifiers 1

Medicaid075897300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Waiver 10D1022825

Lake Mary Surgery Center · Lake Mary, FL

Active · expires Mar 2, 2028

CLIA Number10D1022825

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 3, 2026

Certificate Expiration DateMarch 2, 2028

Laboratory DirectorMeagan Przychocki

Laboratory Phone(407) 585-0260

Laboratory LocationLake Mary Surgery Center460 St Charles Ct, Lake Mary, FL 32746

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

315 services229 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

193 services43 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

117 services95 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

69 services41 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

68 services31 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

56 services27 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

36 services19 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

35 services23 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

24 services21 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

22 services14 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

22 services17 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

18 services13 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

18 services16 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

15 services11 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

13 services11 patients

Correction of bunion 28292

A bunion correction is a surgical procedure to realign the bone, ligaments, tendons, and nerves so your big toe can be brought back to its correct position. This procedure reduces foot pain and improves balance and foot function.

12 services12 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

11 services11 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

11 services11 patients

Other Providers at the Same Location NPPES 3

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

DR. DAVID NUSSEAR, M.D.

Anesthesiology

460 SAINT CHARLES CT
LAKE MARY, FL 32746

Seminole County (407) 585-0260

DAVID W NUSSEAR MD LLC

Anesthesiology

460 SAINT CHARLES CT
LAKE MARY, FL 32746

Seminole County (407) 585-0260

ANABELLA M DONES MD

Anesthesiology

460 SAINT CHARLES CT
LAKE MARY, FL 32746

Seminole County (407) 234-2033

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 Lake Mary Surgery Center LLC's NPI number?

The NPI number for Lake Mary Surgery Center LLC is 1174530752. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Lake Mary Surgery Center LLC located?

Lake Mary Surgery Center LLC is located at 460 Saint Charles Ct, Lake Mary, FL 32746. The listed phone number is (407) 585-0260.

What is Lake Mary Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Lake Mary Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1022825) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Mary Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Lake Mary Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Mary Surgery Center LLC was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

About Lake Mary Surgery Center Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 10D1022825

Areas of Expertise CMS Part B claims 18

Other Providers at the Same Location NPPES 3

Frequently Asked Questions NPPES & CMS

What is Lake Mary Surgery Center LLC's NPI number?

Where is Lake Mary Surgery Center LLC located?

What is Lake Mary Surgery Center LLC's specialty?

Does Lake Mary Surgery Center LLC hold a CLIA laboratory certificate?

What insurance does Lake Mary Surgery Center LLC accept?

When was this NPI record last updated?

Certificate of Waiver 10D1022825