LAKE MEDICAL GROUP, LLC

MIAMI LAKES, FL
NPI1215767496
Entity TypeOrganization
Authorized ContactALFONSO GONZALEZ
President
305-507-4400
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Additional Taxonomies171M00000X Case Manager/Care Coordinator
208100000X Physical Medicine & Rehabilitation
208VP0000X Pain Medicine Pain Medicine
261QA0600X Clinic/Center Adult Day Care
261QI0500X Clinic/Center Infusion Therapy
261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
261QX0100X Clinic/Center Occupational Medicine
291U00000X Clinical Medical Laboratory
332B00000X Durable Medical Equipment & Medical Supplies
335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date2024-08-03
Last Update Date2024-08-03
Business Address
LAKE MEDICAL GROUP, LLC
14750 NW 77TH CT STE 304
MIAMI LAKES, FL 33016-1537
Phone number: 305-507-4400
Mailing Address
LAKE MEDICAL GROUP, LLC
14750 NW 77TH CT STE 304
MIAMI LAKES, FL 33016-1537
Phone number: 305-507-4400