SURGICAL CENTER AT SUN N LAKE L L C (NPI# 1063675734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063675734 |
| Entity Type | Organization |
| Organization Name | SURGICAL CENTER AT SUN N LAKE L L C |
| Other Organization Name | SURGICAL CENTER AT SUN N LAKE |
| Practice Address |
4240 Sun N Lake Blvd Suite 100 Sebring FL 33872-1986 |
| Mailing Address |
3609 Sebring Pkwy Pmb 30 Sebring FL 33870-1699 |
| Practice Telephone | 8633822622 |
| Practice Fax Number | 8633852266 |
| Mailing Telephone | 8633822622 |
| Mailing Fax Number | 8633852266 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | DR. BAHRAM AHMADI (BOARD OF MANAGERS PRESIDENT) |
| Authorized Official Telephone | 9737157915 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Surgical Center at Sun n Lake | Doing Business As Name - Organization |
| Street Address |
4240 SUN N LAKE BLVD SUITE 100 |
| City | SEBRING |
| State | FL |
| Zip Code | 33872-1986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043235401 | Phillip E. Jones | Internal Medicine | 4240 Sun N Lake Blvd, Suite 202, Sebring, FL 33872-1944 | 2006-07-13 |
| 1467567941 | Thomas Shimshak | Internal Medicine | 4240 Sun N Lake Blvd, Suite 202, Sebring, FL 33872-1944 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609382738 | Georgiann Rice | Counselor | 4844 Sun N' Lake Blvd., Central Florida Neuropsychology, Sebring, FL 33872 | 2017-12-27 |
| 1124569751 | Zechariah Paolo Martinez Dominguez | Nurse Practitioner | 4421 Sun N Lake Blvd Ste C, Sebring, FL 33872 | 2017-03-15 |
| 1265752158 | Livia Machado Blanchette | Pharmacist | Adventhealth Florida Hospital Heartland, 4200 Sun N Lake Boulevard, Sebring, FL 33872 | 2010-06-02 |
| 1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
| 1568624427 | Deepti Bhandare | Internal Medicine | 4638 Sun'n Lake Blvd, Sebring, FL 33872 | 2008-07-01 |
| 1154527687 | Jennifer Marie Ushka | Speech-Language Pathologist | 4501 Darnell Dr, Sebring, FL 33872 | 2007-06-22 |
| 1922024850 | Roger Lee Wittum | Internal Medicine | 4240 Sun 'n Lake Boulevard, Suite 202, Sebring, FL 33872 | 2006-07-14 |
| 1902835176 | Shahnaz Punjani | Internal Medicine | 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872 | 2006-07-01 |
| 1467450171 | Ronald Andrew Chee-awai | Urology | 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 | 2005-07-07 |
| 1699315887 | Kir Advance Medical Transportation.inc | Private Vehicle | 4117 Cortez Blvd, Sebring, FL 33872 | 2020-01-15 |
| Find all providers in zip 33872 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268322 | Surgery Center On 27 LLC | Clinic/Center | 7405 Us Highway 27 N, Sebring, FL 33870-1030 | 2019-04-30 |
| 1205221470 | Newsom Surgery Center of Sebring LLC | Clinic/Center | 4211 Us Hwy 27 N, Sebring, FL 33870 | 2015-04-03 |
| 1205872108 | The Surgery & Endoscopy Center LLC | Clinic/Center | 3201 Physicians Way, Sebring, FL 33870-5447 | 2006-06-21 |
| 1043284508 | Winter Haven-sebring Fl Ophthalmology Asc LLC | Clinic/Center | 5030 Us Highway 27 N, Sebring, FL 33870-1354 | 2006-02-13 |
| 1396747564 | Surgical Center of Central Fl, Inc. | Clinic/Center | 3601 S Highlands Ave, Sebring, FL 33870-5418 | 2005-06-01 |
| 1710057534 | Novamed Surgery Center of Sebring LLC | Clinic/Center | 3601 S Highlands Ave, Sebring, FL 33870-5418 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.