| NPI | 1235191362 |
|---|---|
| Doing Business As | LAKESIDE FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JERAMBHAI T KANKOTIA Doctor 813-948-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-08-26 |