SAND LAKE SURGERY CENTER
NPI 1336445873
Clinic/Center - Ambulatory Surgical in Orlando, FL

Active since February 01, 2011CLIA 10D1080722 · Waiver
7477 SANDLAKE COMMONS BLVD, ORLANDO, FL 32819(407) 264-9633(407) 264-9959 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sand Lake Surgery Center NPPES

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

SAND LAKE SURGERY CENTER (NPI 1336445873) is a healthcare organization registered as an ambulatory surgical in Orlando, Florida and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Cheryl Modica, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336445873
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAND LAKE SURGICENTER LLC
Location Address7477 SANDLAKE COMMONS BLVDOrlando, FL 32819-8034
Mailing Address7477 Sandlake Commons BlvdOrlando, FL 32819-8034 · (407) 264-9633 · Fax (407) 264-9959
Fax(407) 264-9959
Organization SubpartNo
Authorized OfficialCheryl ModicaAdministrator · (407) 264-9633
Enumeration DateFebruary 1, 2011
Last NPPES UpdateOctober 5, 2011
NPI 1336445873 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 · 1289
7477 SANDLAKE COMMONS BLVD, Orlando, FL 32819

Other Names 1

Doing Business AsSand Lake Surgery Center

Accepted 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 10D1080722

Sand Lake Surgicenter LLC Dba Sand Lake Surgery Center · Orlando, FL
Active · expires Feb 28, 2028
CLIA Number10D1080722
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorDanelle K. Chambers
Laboratory Phone(407) 264-9633
Laboratory LocationSand Lake Surgicenter LLC Dba Sand Lake Surgery Center7477 Sand Lake Commons Blvd, Orlando, FL 32819
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 19

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.

Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
94 services50 patients
Repair of brow paralysis 67900
Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.
60 services30 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
52 services52 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.
51 services49 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.
45 services28 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
34 services33 patients

Other Providers at the Same Location NPPES 8

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

Anesthesiology
7477 SANDLAKE COMMONS BLVD
ORLANDO, FL 32819
Anesthesiology (Pain Medicine)
7477 SANDLAKE COMMONS BLVD
ORLANDO, FL 32819
Anesthesiology
7477 SANDLAKE COMMONS BLVD
ORLANDO, FL 32819
Anesthesiology
7477 SANDLAKE COMMONS BLVD
ORLANDO, FL 32819
Anesthesiology (Pain Medicine)
7477 SANDLAKE COMMONS BLVD
ORLANDO, FL 32819
Nurse Anesthetist, Certified Registered
7477 SANDLAKE COMMONS BLVD
ORLANDO, FL 32819
Nurse Anesthetist, Certified Registered
7477 SANDLAKE COMMONS BLVD
ORLANDO, FL 32819
Anesthesiology
7477 SANDLAKE COMMONS BLVD
ORLANDO, FL 32819

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 Surgicenter LLC's NPI number?

The NPI number for Sand Lake Surgicenter LLC is 1336445873. It was assigned to this organization in the NPPES registry on February 1, 2011. The provider is doing business as Sand Lake Surgery Center.

Where is Sand Lake Surgicenter LLC located?

Sand Lake Surgicenter LLC is located at 7477 Sandlake Commons Blvd, Orlando, FL 32819. The listed phone number is (407) 264-9633.

What is Sand Lake Surgicenter LLC's specialty?

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

Does Sand Lake Surgicenter LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1080722) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sand Lake Surgicenter LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Sand Lake Surgicenter 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 Sand Lake Surgicenter LLC was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.