LAKESIDE OCCUPATIONAL MEDICAL CENTERS INC. NPI 1194763557

NPI Information

LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC. is an occupational medicine clinic center in Tampa, FL. LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC. NPI is 1194763557. The provider is registered as an organization entity type.
The provider Other Name Is (former Occupant At This Address Was Medero Medical-tampa West).

The provider's business location address is:

5406 HOOVER BLVD
TAMPA, FL
ZIP 33634-330
Phone: (813) 248-8149
Fax: (813) 884-7085

The provider's authorized official is Sandra L. Driver .
The authorized official title is Vp Of Operations and has the following contact phone number (727) 532-7647.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 12/7/2009.

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:

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