Miami Lakes Medical Center, LLC
NPI #1740687821 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1740687821
- Entity Type
- Organization
- Organization Name
- Miami Lakes Medical Center, LLC
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Dec 4, 2014
- Last Updated
- Jun 3, 2025
Practice Location
- Address
- 15536 NW 77TH CT
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33016-5804
- Phone
- (305) 621-8051
Authorized Official
- Name
- EDUARDO ELIZALDE
- Title
- MD
- Phone
- (305) 621-8051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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