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AESTHETIC SURGERY CENTER OF WINTER PARK, LLC
NPI 1861653685
Clinic/Center - Ambulatory Surgical in Winter Park, FL

Active since June 24, 2008CLIA 10D1021927 · Waiver
4355 BEAR GULLY RD, WINTER PARK, FL 32792(321) 282-0561(321) 282-0565 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aesthetic Surgery Center Of Winter Park, Llc NPPES

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

AESTHETIC SURGERY CENTER OF WINTER PARK, LLC (NPI 1861653685) is a healthcare organization registered as an ambulatory surgical in Winter Park, Florida and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Jeffrey M. Hartog, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1861653685
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAESTHETIC SURGERY CENTER OF WINTER PARK, LLC
Location Address4355 BEAR GULLY RDWinter Park, FL 32792-9422
Mailing Address4355 Bear Gully RdWinter Park, FL 32792-9422 · (321) 282-0561 · Fax (321) 282-0565
Phone(321) 282-0561
Fax(321) 282-0565
Organization SubpartNo
Authorized OfficialJeffrey M. HartogMedical Director · (321) 282-0561
Enumeration DateJune 24, 2008
✔ NPI 1861653685 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 · 1199
4355 BEAR GULLY RD, Winter Park, FL 32792
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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 10D1021927

Aesthetic Surgery Center Of Winter Park, The · Winter Park, FL
Active · expires Feb 2, 2028
CLIA Number10D1021927
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorJeffrey M. Hartog
Laboratory Phone(321) 282-0561
Laboratory LocationAesthetic Surgery Center Of Winter Park, The4355 Bear Gully Rd, Winter Park, FL 32792
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. JEFFREY MICHAEL HARTOG JEFFREY HARTOG M.D.
Plastic Surgery
4355 BEAR GULLY RD
WINTER PARK, FL 32792
Orange County (407) 678-3116
AESTHETIC OSTEOPATHIC GROUP
General Practice
4355 BEAR GULLY RD
WINTER PARK, FL 32792
Orange County (954) 752-2715
SHERRY P SWENSON ZIEBELL ARNP
Nurse Practitioner
4355 BEAR GULLY RD
WINTER PARK, FL 32792
Orange County (321) 282-0561
SURGAN MEDICAL MANAGEMENT
Specialist
4355 BEAR GULLY RD
WINTER PARK, FL 32792
Orange County (321) 282-0561
JEFFREY M HARTOG, D.M.D., M.D., P.A.
Specialist
4355 BEAR GULLY RD
WINTER PARK, FL 32792
Orange County (407) 579-7329
MICHELLE GLOWACKI HARTOG ARNP
Nurse Practitioner (Gerontology)
4355 BEAR GULLY RD
WINTER PARK, FL 32792
Orange County (407) 678-3116
VASCULAR HEALTH INSTITUTE INC
Surgery (Vascular Surgery)
4355 BEAR GULLY RD
WINTER PARK, FL 32792
Orange County (877) 817-8346

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 Aesthetic Surgery Center Of Winter Park, LLC's NPI number?

The NPI number for Aesthetic Surgery Center Of Winter Park, LLC is 1861653685. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Aesthetic Surgery Center Of Winter Park, LLC located?

Aesthetic Surgery Center Of Winter Park, LLC is located at 4355 Bear Gully Rd, Winter Park, FL 32792. The listed phone number is (321) 282-0561.

What is Aesthetic Surgery Center Of Winter Park, LLC's specialty?

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

Does Aesthetic Surgery Center Of Winter Park, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1021927) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aesthetic Surgery Center Of Winter Park, LLC was last updated on June 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.