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1356820286
LAKESIDE MEDICAL LLC
PEMBROKE PINES, FL
NPI
1356820286
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Entity Type
Organization
Authorized Contact
ARMANDO DE FERIA
President
954-392-7157
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2018-08-10
Last Update Date
2018-08-10
Business Address
LAKESIDE MEDICAL LLC
600 N HIATUS RD STE 203
PEMBROKE PINES, FL 33026-5207
Phone number: 954-392-7157
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Mailing Address
LAKESIDE MEDICAL LLC
600 N HIATUS RD STE 203
PEMBROKE PINES, FL 33026-5207
Phone number: 954-392-7157
Copy
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