ADVACNED SURGICAL CARE OF LAKE NONA – NPI #1912747502
Clinic/Center

ADVACNED SURGICAL CARE OF LAKE NONA is an AHC clinic located in ORLANDO, FL. NPPES has assigned the NPI number 1912747502 to ADVACNED SURGICAL CARE OF LAKE NONA on May 30, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVACNED SURGICAL CARE OF LAKE NONA” is a dba name, the actual legal business name for this organization is ADVANCED SURGICAL CARE OF LAKE NONA, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Aug 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVACNED SURGICAL CARE OF LAKE NONA below.

NPI Profile for
ADVANCED SURGICAL CARE OF LAKE NONA, LLC

NPI Number
1912747502
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED SURGICAL CARE OF LAKE NONA, LLC
Doing Business As (dba): ADVACNED SURGICAL CARE OF LAKE NONA
Primary location
12904 SUNSTONE AVE
SUITE 101
ORLANDO, FL 32832
Phone: (708) 275-7799 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELISSA MCSHERRY
DIRECTOR OF OPERATIONS
Phone: (708) 275-7799
Updated
Certification Date
Aug 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.