| NPI | 1679558928 |
|---|---|
| Doing Business As | LAKESIDE INTERNAL MEDICINE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TERRI MARTINEZ Office Manager 352-343-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2010-06-23 |