Sand Lake Cancer Center, PA

NPI #1023485679 in Orlando, Florida

Provider Information

NPI Number: 1023485679
Entity Type: Organization
Organization Name: Sand Lake Cancer Center, PA
Primary Specialty: Specialist
Enumeration Date: Aug 31, 2015
Last Updated: Aug 31, 2015

Practice Location

Address: 7300 SANDLAKE COMMONS BLVD
Address 2: SUITE 200
City: Orlando
State: Florida
ZIP Code: 32819-8050
Phone: (407) 351-1002

Authorized Official

Name: MS. ASHA N JIAWAN
Title: PRACTICE ADMINISTRATOR
Phone: (407) 351-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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