LAKESIDE OF ORLANDO INC (NPI# 1386961894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386961894 |
| Entity Type | Organization |
| Organization Name | LAKESIDE OF ORLANDO INC |
| Practice Address |
2314 N Orange Blossom Trl Orlando FL 32804-4803 |
| Mailing Address |
7527 Ulmerton Rd Largo FL 33771-4548 |
| Practice Telephone | 4074289233 |
| Practice Fax Number | 4074289667 |
| Mailing Telephone | 7275860138 |
| Mailing Fax Number | 7275866954 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | ARLENE GUZIK (VP OPERATION, ASSISTANT MEDICAL DIR) |
| Authorized Official Telephone | 7275327644 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKESIDE OCCUPATIONAL MEDICAL CENTERS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
ME25396 | FL | Ambulatory Health Care Facilities |
| Street Address |
2314 N ORANGE BLOSSOM TRL |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639376163 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 2314 N Orange Blossom Trl, Orlando, FL 32804-4803 | 2007-06-28 |
| 1528517604 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 2314 N Orange Blossom Trl, Orlando, FL 32804-4803 | 2016-09-29 |
| 1457786691 | Michael Patrick Mccrudden | Physician Assistant | 2314 N Orange Blossom Trl, Orlando, FL 32804-4803 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639376163 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 2314 N Orange Blossom Trl, Orlando, FL 32804-4803 | 2007-06-28 |
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|---|---|---|---|---|
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| 1558743021 | Grant William Fisher | Clinic/Center | 2065 Airport Blvd Ste 300, Pensacola, FL 32504-5930 | 2015-06-22 |
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| 1700280559 | Kg Therapy LLC | Clinic/Center | 1015 Spanish River Rd, #304, Boca Raton, FL 33432-7677 | 2014-10-22 |
| 1295137081 | Bcot Assessment & Sevices, Inc | Clinic/Center | 2100 E.hallandale Bch Blvd., Ste. 101a, Hallandale, FL 33009-3722 | 2014-09-23 |
| 1578971388 | Lakeside Occupational Medical Centers Inc | Clinic/Center | 12120 Cortez Blvd, Brooksville, FL 34613-5514 | 2014-07-24 |
| Find all providers with the same taxonomy | ||||
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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.