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ORANGE AVENUE SURGERY CENTER, LLC
NPI 1790442895
Clinic/Center - Ambulatory Surgical in Orlando, FL

Active since November 23, 2021CLIA 10D2266542 · Waiver
1405 S ORANGE AVE STE 120, ORLANDO, FL 32806(321) 228-6700 Get Directions Write a Review

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

Record update history: May 19, 2026, Nov 20, 2025, Nov 24, 2021 (3 updates tracked since 2021).

About Orange Avenue Surgery Center, Llc NPPES

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

ORANGE AVENUE SURGERY CENTER, LLC (NPI 1790442895), doing business as Orange Avenue Surgery Center, is a healthcare organization registered as an ambulatory surgical in Orlando, Florida and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through August 10, 2026 and lists Daniel Mihalic, Vp, as its authorized official.

NPPES Registry Identity

NPI1790442895
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameORANGE AVENUE SURGERY CENTER, LLC
Location Address1405 S ORANGE AVE STE 120Orlando, FL 32806-2147
Mailing Address1405 S Orange Ave Ste 120Orlando, FL 32806-2147 · (321) 228-6700
Phone(321) 228-6700
Organization SubpartNo
Authorized OfficialDaniel MihalicVp · (321) 300-0555
Enumeration DateNovember 23, 2021
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1790442895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1405 S ORANGE AVE STE 120, Orlando, FL 32806
Open in Google Maps ↗

Other Names 1

Doing Business AsOrange Avenue Surgery Center

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 10D2266542

Orange Avenue Surgery Center, LLC · Orlando, FL
Active · expires Aug 10, 2026
CLIA Number10D2266542
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorJorge E. Hernandez
Laboratory Phone(321) 228-6700
Laboratory LocationOrange Avenue Surgery Center, LLC1405 South Orange Avenue, Suite 120, Orlando, FL 32806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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 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.
63 services63 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.
61 services61 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
46 services45 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.
40 services39 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
24 services24 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
21 services21 patients

Other Providers at the Same Location NPPES

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

FRESENIUS VASCULAR CARE FOUR CORNERS ASC LLC
Clinic/Center (Ambulatory Surgical)
1405 S ORANGE AVE STE 120
ORLANDO, FL 32806
Orange County (407) 425-5062

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 Orange Avenue Surgery Center, LLC's NPI number?

The NPI number for Orange Avenue Surgery Center, LLC is 1790442895. It was assigned to this organization in the NPPES registry on November 23, 2021. The provider is doing business as Orange Avenue Surgery Center.

Where is Orange Avenue Surgery Center, LLC located?

Orange Avenue Surgery Center, LLC is located at 1405 S Orange Ave Ste 120, Orlando, FL 32806. The listed phone number is (321) 228-6700.

What is Orange Avenue Surgery Center, LLC's specialty?

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

Does Orange Avenue Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2266542) is associated with this NPI, valid through August 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orange Avenue Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Orange Avenue 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 Orange Avenue Surgery Center, LLC was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.