LAKESIDE CLINIC, LLC

CLEARWATER, FL
NPI1992162879
Doing Business AsMEDMARK TREATMENT CENTERS CLEARWATER
Entity TypeOrganization
Authorized ContactBRUCE JARVIE
VP, Treasurer
214-379-3300
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
Additional Taxonomies251S00000X 
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date2016-01-22
Last Update Date2024-07-29
Business Address
LAKESIDE CLINIC, LLC
13700 58TH ST N BUILDING 2, SUITE 201
CLEARWATER, FL 33760-3757
Phone number: 727-223-3545
Mailing Address
LAKESIDE CLINIC, LLC
1720 LAKEPOINTE DR STE 117
LEWISVILLE, TX 75057-6425
Phone number: 469-470-4779