Lake Medical Group, LLC
NPI #1215767496 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1215767496
- Entity Type
- Organization
- Organization Name
- Lake Medical Group, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 3, 2024
- Last Updated
- Aug 3, 2024
Practice Location
- Address
- 14750 NW 77TH CT STE 304
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33016-1537
- Phone
- (305) 507-4400
Authorized Official
- Name
- ALFONSO GONZALEZ
- Title
- PRESIDENT
- Phone
- (305) 507-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
| Clinic/Center - Infusion Therapy — Infusion Therapy |
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Clinic/Center - Occupational Medicine — Occupational Medicine |
| Case Manager/Care Coordinator |
| Physical Medicine & Rehabilitation |
| Pain Medicine - Pain Medicine — Pain Medicine |
| Clinical Medical Laboratory |
| Durable Medical Equipment & Medical Supplies |
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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