OBGYN SPECIALISTS OF LAKESIDE LLC NPI 1134467129

NPI Information

NPI: 1134467129
Provider Name: OBGYN SPECIALISTS OF LAKESIDE LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
39200 HOOKER HWY
BELLE GLADE, FL
ZIP 33430
Phone: (561) 996-6571
Get Directions

OBGYN SPECIALISTS OF LAKESIDE LLC is an obstetrics gynecology in Belle Glade, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBGYN SPECIALISTS OF LAKESIDE LLC NPI is 1134467129. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

39200 HOOKER HWY
BELLE GLADE, FL
ZIP 33430-368
Phone: (561) 996-6571
Fax: (561) 992-9722

The provider's authorized official is John Burigo .
The authorized official title is Manager and has the following contact phone number (561) 275-7509.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 7/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	ME35335	FLORIDA	No
2	207V00000X	Obstetrics & Gynecology		ME35335	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008257000	MEDICAID	FLORIDA
2	HE580A	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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