LAKESIDE MED LLC

PEMBROKE PINES, FL
NPI1740096049
Entity TypeOrganization
Authorized ContactARMANDO ANTENOR DE FERIA
President
954-392-7157
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2024-12-10
Last Update Date2024-12-10
Business Address
LAKESIDE MED LLC
600 N HIATUS RD STE 203
PEMBROKE PINES, FL 33026-5207
Phone number: 954-392-7157
Mailing Address
LAKESIDE MED LLC
600 N HIATUS RD STE 203
PEMBROKE PINES, FL 33026-5207
Phone number: 954-392-7157