Organization · Type 2 NPI

Lake Medical Group, LLC

Multi-Specialty Clinic/Center · Miami Lakes, FL

NPI number 1215767496 Active

Practice location

14750 NW 77th Ct Ste 304
Miami Lakes, FL 33016-1537

Call (305) 507-4400 Map

Fax (305) 826-2840

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Pain Medicine Physician 208VP0000XNone listed
Adult Day Care Clinic/Center 261QA0600XNone listed
Infusion Therapy Clinic/Center 261QI0500XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401XNone listed
Occupational Medicine Clinic/Center 261QX0100XNone listed
Clinical Medical Laboratory 291U00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1215767496

Lake Medical Group, LLC's National Provider Identifier is 1215767496, issued on Aug 3, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Miami Lakes, FL. The record was last updated on Aug 3, 2024.