ADVACNED SURGICAL CARE OF LAKE NONA
NPI 1912747502
Clinic/Center - Ambulatory Surgical in Orlando, FL

Active since May 30, 2024
12904 SUNSTONE AVE, SUITE 101, ORLANDO, FL 32832(708) 275-7799 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Aug 6, 2024, Jun 11, 2024 (3 updates tracked since 2024).

About Advacned Surgical Care Of Lake Nona NPPES

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

ADVACNED SURGICAL CARE OF LAKE NONA (NPI 1912747502) is a healthcare organization registered as an ambulatory surgical in Orlando, Florida and active in the NPI registry since May 2024. The organization lists Melissa Mcsherry, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1912747502
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED SURGICAL CARE OF LAKE NONA, LLC
Location Address12904 SUNSTONE AVE, SUITE 101Orlando, FL 32832
Mailing Address12904 Sunstone Ave, Suite 101Orlando, FL 32832
Organization SubpartNo
Authorized OfficialMelissa McsherryDirector Of Operations · (708) 275-7799
Enumeration DateMay 30, 2024
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1912747502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12904 SUNSTONE AVE, Orlando, FL 32832

Other Names 1

Doing Business AsAdvacned Surgical Care Of Lake Nona

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 10D2308195

Advanced Surgical Care Of Lake Nona LLC · Orlando, FL
Expired · Jul 22, 2026
CLIA Number10D2308195
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 23, 2024
Certificate Expiration DateJuly 22, 2026
Laboratory DirectorZamip Patel
Laboratory Phone(954) 600-4391
Laboratory LocationAdvanced Surgical Care Of Lake Nona LLC12904 Sunstone Ave Suite 101, Orlando, FL 32832
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Surgical Care Of Lake Nona, LLC's NPI number?

The NPI number for Advanced Surgical Care Of Lake Nona, LLC is 1912747502. It was assigned to this organization in the NPPES registry on May 30, 2024. The provider is doing business as Advacned Surgical Care Of Lake Nona.

Where is Advanced Surgical Care Of Lake Nona, LLC located?

Advanced Surgical Care Of Lake Nona, LLC is located at 12904 Sunstone Ave Suite 101, Orlando, FL 32832. The listed phone number is (708) 275-7799.

What is Advanced Surgical Care Of Lake Nona, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Surgical Care Of Lake Nona, LLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.