LAKE'S MEDICAL OFFICE (NPI# 1295935013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295935013 |
| Entity Type | Organization |
| Organization Name | LAKE'S MEDICAL OFFICE |
| Practice Address |
6260 Johnson St Hollywood FL 33024-5932 |
| Practice Telephone | 9549618195 |
| Mailing Telephone | 9549618195 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | MANUEL C ACOSTA (PRESIDENT) |
| Authorized Official Telephone | 9549618195 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
HCC4716 | FL | Ambulatory Health Care Facilities |
| Street Address |
6260 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-5932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578838728 | United Wellness Center, Inc | Clinic/Center | 6260 Johnson St, Hollywood, FL 33024-5932 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463987 | Cari Solorzano and Associates | Clinic/Center | 6100 Johnson St Unit B, Hollywood, FL 33024-6030 | 2018-10-16 |
| 1386033157 | Brittany Sherwood, LLC | Clinic/Center | 11706 Melaleuca Way, Hollywood, FL 33026-1228 | 2015-01-16 |
| 1952671414 | Sunny Isles Health Center, Inc. | Clinic/Center | 5100 Hollywood Blvd Ste 3, Hollywood, FL 33021-6538 | 2011-12-30 |
| 1356575245 | Neurobrain Diagnostic, Ltd | Clinic/Center | 3475 Sheridan Street, 215e, Hollywood, FL 33021-3659 | 2009-05-07 |
| 1578838728 | United Wellness Center, Inc | Clinic/Center | 6260 Johnson St, Hollywood, FL 33024-5932 | 2012-03-20 |
| 1629353008 | The Center for Massage Therapy, Cooper City, Inc | Clinic/Center | 9850 Stirling Rd, Suite 102, Hollywood, FL 33024-8068 | 2011-10-17 |
| 1477723195 | Gamma Healthcare Inc. | Clinic/Center | 4516 Hollywood Blvd, Hollywood, FL 33021-6612 | 2008-03-10 |
| 1770703027 | Continucare Clinics, Inc. | Clinic/Center | At Sedano's Pharmacy, 2323 N. State Road 7, Hollywood, FL 33021 | 2007-04-27 |
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| 1053919217 | Salei Primary Care Inc | Clinic/Center | 600 Parkview Dr Apt 402, Hallandale Beach, FL 33009-2970 | 2020-10-10 |
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| 1285240333 | Auto Accident Health & Rehab, LLC | Clinic/Center | 2140 Bruton Blvd, Orlando, FL 32805-5717 | 2020-09-23 |
| 1497361166 | Solutions To Home Care LLC | Clinic/Center | 3610 Pinehurst Dr, Lake Worth, FL 33467-0910 | 2020-09-18 |
| 1386259323 | Brandon Stem Cell Clinic LLC | Clinic/Center | 1602 Oakfield Dr Ste 101, Brandon, FL 33511-0827 | 2020-09-15 |
| 1285249987 | Derma Beauty Spa Medical Clinic | Clinic/Center | 1470 Nw 107th Ave Ste M, Sweetwater, FL 33172-2735 | 2020-09-10 |
| 1225642622 | Dor Medical Services | Clinic/Center | 103 Landings Blvd, Greenacres, FL 33413-2027 | 2020-09-02 |
| 1952915563 | Ngozi Global Healthcare | Clinic/Center | 626 Eastwood Ct, Altamonte Springs, FL 32714-7304 | 2020-09-01 |
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| 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.