LAKES HEALTHCARE & SPA (NPI# 1104298488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104298488 |
| Entity Type | Organization |
| Organization Name | LAKES HEALTHCARE & SPA |
| Other Organization Name | LAKES HEALTHCARE & SPA |
| Practice Address |
15700 Nw 67th Ave Suite 101 Miami Lakes FL 33014-2109 |
| Practice Telephone | 3056987074 |
| Practice Fax Number | 3056987411 |
| Mailing Telephone | 3056987074 |
| Mailing Fax Number | 3056987411 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | MS. CINDY CLARA MANDULEY-BOUZA (OWNER) |
| Authorized Official Telephone | 7862619628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Lakes Healthcare & Spa | Former Legal Business Name - Organization |
| Street Address |
15700 NW 67TH AVE SUITE 101 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33014-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372840 | Premier Obgyn of South Florida Pllc | Specialist | 8145 Nw 155th St Ste B, Miami Lakes, FL 33016-5872 | 2017-08-17 |
| 1841675303 | Eloy Roman Md., P.a. | Specialist | 5801 Nw 151st St Ste 300, Miami Lakes, FL 33014-2437 | 2015-07-27 |
| 1003212226 | Ana M Hernandez-casablanca | Specialist | 6914 Main St, Apt. 264, Miami Lakes, FL 33014-7011 | 2014-11-16 |
| 1396043253 | Ariadna Collazo | Specialist | 15346 Nw 79th Ct, Miami Lakes, FL 33016-5850 | 2011-03-02 |
| 1316190358 | Angel A. De Armendi | Specialist | 5190 Nw 167th St Ste 109, Miami Lakes, FL 33014-6329 | 2008-11-03 |
| 1720254113 | Cristina Agostinelli | Specialist | 15529 Bull Run Rd, Miami Lakes, FL 33014-7004 | 2008-05-05 |
| 1437323219 | Jorge Pando | Specialist | 8145 Nw 155th St, Suite B, Miami Lakes, FL 33016-5872 | 2008-04-14 |
| 1992776314 | Andrew J Hanly | Specialist | 16250 Nw 59th Ave, Suite 201, Miami Lakes, FL 33014-7542 | 2006-02-01 |
| 1598744914 | Mayre Urdaneta | Specialist | 8060 Nw 155th St Ste 201, Miami Lakes, FL 33016-5883 | 2006-01-13 |
| 1033664354 | Stanislaw Anthony Sowinski Jr. | Specialist | 15150 Bull Run Rd, Miami Lakes, FL 33014-2167 | 2016-08-16 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33014 |
Please comment or provide details below to improve the information on LAKES HEALTHCARE & SPA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.