| Lake Medical Services Inc | |
|
7980 Nw 155th St Suite A Miami Lakes FL 33016-5818 | |
| (305) 557-8700 | |
| (305) 557-8715 |
| Full Name | Lake Medical Services Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 7980 Nw 155th St, Miami Lakes, Florida |
| Authorized Official Name and Position | Alexis Martinez (PRESIDENT) |
| Authorized Official Contact | 3055578700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Medical Services Inc 7980 Nw 155th St Suite A Miami Lakes FL 33016-5818 Ph: (305) 557-8700 | Lake Medical Services Inc 7980 Nw 155th St Suite A Miami Lakes FL 33016-5818 Ph: (305) 557-8700 |
| NPI Number | 1194035055 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194035055 | NPI | - | NPPES |
| FILE 8685 | Other | FL | HCC AHCA EXEMPT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC8422 (Florida) | Primary |
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