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SAND LAKE CANCER CENTER DISPENSARY
NPI 1609278597
Physician Assistant - Medical in Orlando, FL

Active since September 23, 2014
7301 STONEROCK CIR STE 2, ORLANDO, FL 32819(407) 351-1002(407) 351-1119 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2022, May 9, 2022, Jun 2, 2020 (3 updates tracked since 2020).

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 1609278597) is a healthcare organization registered as a medical in Orlando, Florida and active in the NPI registry since September 2014. The organization lists Asha Jiawan, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1609278597
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameSAND LAKE CANCER CENTER, PA
Location Address7301 STONEROCK CIR STE 2Orlando, FL 32819-8004
Mailing Address7301 Stonerock Cir, Suite 2Orlando, FL 32819-8004 · (407) 351-1002 · Fax (407) 351-1096
Phone(407) 351-1002
Fax(407) 351-1119
Organization SubpartNo
Authorized OfficialAsha JiawanPractice Administrator · (407) 351-1002
Enumeration DateSeptember 23, 2014
Last NPPES UpdateNovember 11, 20223 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1609278597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106328
Also ListedSpecialistTaxonomy 174400000X · License ME73340 (FL), ME76724 (FL), ME116521 (FL)
7301 STONEROCK CIR STE 2, Orlando, FL 32819
Open in Google Maps ↗

Other Names 1

Doing Business AsSand Lake Cancer Center Dispensary

Other Identifiers 1

OtherK9074FL · Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

ANGELIQUE PARADA
Physician Assistant
7301 STONEROCK CIR STE 2
ORLANDO, FL 32819
Orange County (407) 351-1002

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 1609278597. It was assigned to this organization in the NPPES registry on September 23, 2014. 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 7301 Stonerock Cir Ste 2, 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 Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Sand Lake Cancer Center, PA accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Sand Lake Cancer Center, PA 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 Cancer Center, PA was last updated on November 11, 2022. 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.