LAKE NONA SURGERY CENTER, LLC
NPI 1396605507
Clinic/Center - Ambulatory Surgical in Orlando, FL
NPI Status: Active since November 12, 2025
Contact Information
6424 ALEXANDRA LOUISE DR STE 400
ORLANDO, FL
ZIP 32827
Phone: (407) 610-6648
Fax: (855) 719-2579
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 10D2333426
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 11-04-2027
About LAKE NONA SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Lake Nona Surgery Center, Llc, a provider established in Orlando, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1396605507 assigned on November 2025. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Rey Estevan (Mgr)
- NPI
- 1396605507
- Provider Name
- LAKE NONA SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 6424 ALEXANDRA LOUISE DR STE 400 ORLANDO, FL 32827
- Location Phone
- (407) 610-6648
- Location Fax
- (855) 719-2579
- Mailing Address
- 6424 ALEXANDRA LOUISE DR STE 400 ORLANDO, FL 32827
- Mailing Phone
- (407) 610-6648
- Mailing Fax
- (855) 719-2579
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-12-2025
- Last Update Date
- 12-16-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PH35954 | OTHER (01) | FL | LICENSE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2333426
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- November 05, 2025
- Certificate Expiration Date
- November 04, 2027
- Laboratory Director
- ALI ALSAAD
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Lake Nona Surgery Center, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396605507, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396605507, enumerated as an "organization" on November 12, 2025.
The provider is located at 6424 ALEXANDRA LOUISE DR STE 400 ORLANDO, FL 32827 and the phone number is (407) 610-6648.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
