LAKESIDE CLINIC, LLC is a methadone clinic center in Clearwater, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. LAKESIDE CLINIC, LLC NPI is 1992162879. The provider is registered as an organization entity type.
The provider's business location address is:
13700 58TH ST N
BUILDING 2, SUITE 201
CLEARWATER, FL
ZIP 33760-757
Phone: (727) 223-3545
The provider's authorized official is Jim Weiss .
The authorized official title is Director Of Quality Management and has the following contact phone number (402) 339-1436.
The CLIA number assigned to this NPI record is 10D2254086 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/22/2016 and was last updated on 2/12/2021.