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1437448354
LAKE MEDICAL GROUP, LLC
MIAMI LAKES, FL
NPI
1437448354
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Entity Type
Organization
Authorized Contact
ALFONSO GONZALEZ
President/Owner
305-801-4030
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2011-03-31
Last Update Date
2024-08-03
Business Address
LAKE MEDICAL GROUP, LLC
14750 NW 77TH CT STE 304
MIAMI LAKES, FL 33016-1537
Phone number: 305-507-4400
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Mailing Address
LAKE MEDICAL GROUP, LLC
14750 NW 77TH CT STE 304
MIAMI LAKES, FL 33016-1537
Phone number: 305-507-4400
Copy
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