Lakes Healthcare & Spa
NPI #1104298488 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1104298488
- Entity Type
- Organization
- Organization Name
- Lakes Healthcare & Spa
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 26, 2015
- Last Updated
- Oct 26, 2015
Practice Location
- Address
- 15700 NW 67TH AVE
- Address 2
- SUITE 101
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33014-2109
- Phone
- (305) 698-7074
Authorized Official
- Name
- MS. CINDY CLARA MANDULEY-BOUZA
- Title
- OWNER
- Phone
- (786) 261-9628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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