| Lakeside Medical And Aesthetic Centre Lc | |
|
600 N Hiatus Rd Suite 203 Pembroke Pines FL 33026-5207 | |
| (954) 392-7157 | |
| (954) 443-4941 |
| Full Name | Lakeside Medical And Aesthetic Centre Lc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 N Hiatus Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Lydia Fuxa (ADMINSTRATOR) |
| Authorized Official Contact | 9543927157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Medical And Aesthetic Centre Lc 600 N Hiatus Rd Suite 203 Pembroke Pines FL 33026-5207 Ph: (954) 392-7157 | Lakeside Medical And Aesthetic Centre Lc 600 N Hiatus Rd Suite 203 Pembroke Pines FL 33026-5207 Ph: (954) 392-7157 |
| NPI Number | 1801069224 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 09/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801069224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7420 (Florida) | Primary |
| 207R00000X | Internal Medicine | ME70790 (Florida) | Secondary |
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