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Lake Mary Surgery Center LLC

Ambulatory Surgical Clinic/Center in Lake Mary, FL · enumerated 2006 · authorized official Jennifer Baldock, Officer and Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174530752

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Mary Surgery Center LLC
Practice address 460 Saint Charles Ct, Lake Mary, FL, 32746
Phone (407) 585-0260
Fax (407) 585-0264
Enumeration date Aug 3, 2006
Last updated in NPPES Feb 21, 2023

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 1204 (FL) Primary

Authorized official

Name Jennifer Baldock
Title Officer and Authorized Official
Phone (615) 234-5954

Other identifiers

Identifier Type State Issuer
075897300 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lake Mary Surgery Center LLC located?
The practice location on file with NPPES is in Lake Mary, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-02-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-21.