Northlake Medical

NPI #1568635233 in Lake Park, Florida

Provider Information

NPI Number
1568635233
Entity Type
Organization
Organization Name
Northlake Medical
Primary Specialty
Clinic/Center
Enumeration Date
Apr 2, 2008
Last Updated
Jul 14, 2008

Practice Location

Address
3450 NORTHLAKE BLVD
State
Florida
ZIP Code
33403
Phone
(561) 627-8602

Authorized Official

Name
DANIEL ALBERT FORTUNATO
Title
PRESIDENT
Phone
(561) 627-8602

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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