SANDLAKE HEALTH & WELLNESS CENTER LLC (NPI# 1447507496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447507496 |
Entity Type | Organization |
Organization Name | SANDLAKE HEALTH & WELLNESS CENTER LLC |
Practice Address |
2345 Sand Lake Rd Suite 300 Orlando FL 32809-9142 |
Practice Telephone | 4078515121 |
Practice Fax Number | 4078510439 |
Mailing Telephone | 4078515121 |
Mailing Fax Number | 4078510439 |
Enumeration Date | 2012-08-09 |
Last Update Date | 2012-08-09 |
Authorized Official Name | DR. SANGEETHA POLASA (M.D.) |
Authorized Official Telephone | 4078515121 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
2345 SAND LAKE RD SUITE 300 |
City | ORLANDO |
State | FL |
Zip Code | 32809-9142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700874047 | Donna K Martinez | Nurse Practitioner | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2005-10-11 |
1962047209 | Krystal Ann Myers | Social Worker | 2345 Sand Lake Rd, Orlando, FL 32809-9142 | 2019-11-11 |
1558879114 | Karen Elizabeth Jorge | Physician Assistant | 2345 Sand Lake Rd, Orlando, FL 32809-9142 | 2018-01-17 |
1962867143 | Nancy Vermeer | Psychologist | 2345 Sand Lake Rd, Orlando, FL 32809-9142 | 2015-12-15 |
1104186469 | Orlando Psychiatric Care LLC | Psychiatry & Neurology | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2012-05-21 |
1528172731 | Orlando Psychiatric Associates Inc. | Community/Behavioral Health | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2006-08-18 |
1558397620 | Bhaskar Nandimandalam Raju | Psychiatry & Neurology | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2006-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
Find all providers in zip 32809 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
1043837834 | The Critical Care and Hospital Medicine Group, Pllc | Clinic/Center | 2600 University Acres Dr, Orlando, FL 32817-3024 | 2020-06-29 |
1548896822 | Aba Therapy Centers of Excellence Corp | Clinic/Center | 1800 Pembrook Dr Ste 372, Orlando, FL 32810-6928 | 2020-03-18 |
1033756374 | Obt Chiropractic Inc | Clinic/Center | 7130 S Orange Blossom Trl, Orlando, FL 32809-5755 | 2019-12-05 |
1689210858 | Promed Associates LLC | Clinic/Center | 7642 Blue Quail Ln, Orlando, FL 32835-5815 | 2019-11-22 |
1699316760 | Doctors United Group Inc | Clinic/Center | 3300 W Colonial Dr, Orlando, FL 32808-8011 | 2019-09-30 |
1649828930 | Orna Aesthetics LLC | Clinic/Center | 6735 Conroy Rd Ste 422, Orlando, FL 32835-3566 | 2019-08-29 |
1841842721 | Cigna Onsite Health LLC | Clinic/Center | 2500 W Colonial Dr, Orlando, FL 32804-8005 | 2019-07-11 |
1902468077 | Akl Active Inc | Clinic/Center | 1767 Spicebush Ct, Orlando, FL 32828-6847 | 2019-06-28 |
Find all providers in ORLANDO |
Please comment or provide details below to improve the information on SANDLAKE HEALTH & WELLNESS CENTER LLC.
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.