Healthcare Provider Details

I. General information

NPI: 1376185876
Provider Name (Legal Business Name): RINEHART ROAD SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2019
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 RINEHART RD STE 1090
LAKE MARY FL
32746-2527
US

IV. Provider business mailing address

1414 KUHL AVE
ORLANDO FL
32806-2008
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-8199
  • Fax:
Mailing address:
  • Phone: 321-841-8199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL MIHALIC
Title or Position: VP
Credential:
Phone: 321-363-9400