Individual provider · Type 1 NPI

Mikhailia Wanakee Lake, MD

Cardiovascular Disease Physician · Fort Lauderdale, FL

NPI number 1639344914 Active

Practice location

1625 SE 3rd Ave Ste 620
Fort Lauderdale, FL 33316-2521

Fax (954) 320-3371

Mailing address

1608 SE 3rd Ave Fl 3
Fort Lauderdale, FL 33316-2564

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XME 112403 (FL)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5 other providers at this address

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About NPI 1639344914

Mikhailia Wanakee Lake, MD's National Provider Identifier is 1639344914, issued on Apr 28, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 29, 2025.