LAKESIDE OF LAKELAND NPI 1609155464

NPI Information

NPI: 1609155464
Provider Name: LAKESIDE OF LAKELAND
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
1750 N BROADWAY AVE
BARTOW, FL
ZIP 33830
Phone: (863) 533-2030
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LAKESIDE OF LAKELAND is an occupational medicine clinic center in Bartow, FL. LAKESIDE OF LAKELAND NPI is 1609155464. The provider is registered as an organization entity type.

The provider's business location address is:

1750 N BROADWAY AVE
BARTOW, FL
ZIP 33830-103
Phone: (863) 533-2030

The provider's authorized official is Arlene Guzik .
The authorized official title is Vp Operations and has the following contact phone number (727) 532-7644.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 8/11/2011.

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	261QX0100X	Clinic/Center	Occupational Medicine	ME 25396	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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