LAKE MEDICAL CENTER PLLC (NPI# 1699198903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699198903 |
| Entity Type | Organization |
| Organization Name | LAKE MEDICAL CENTER PLLC |
| Practice Address |
425 Se 2nd St Belle Glade FL 33430-3511 |
| Practice Telephone | 5619920508 |
| Practice Fax Number | 5619920510 |
| Mailing Telephone | 5619920508 |
| Mailing Fax Number | 5619920510 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-04-13 |
| Authorized Official Name | SUSAN MCMILLAN (NURSE PRACTIONEER) |
| Authorized Official Telephone | 5619920508 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1951902 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
425 SE 2ND ST |
| City | BELLE GLADE |
| State | FL |
| Zip Code | 33430-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720474075 | District Clinic Holdings Inc | Clinic/Center | 38754 State Rd 80, Belle Glade, FL 33430 | 2015-04-14 |
| 1780934299 | Keyon Lamar Hodges | Driver | 636 Southeast 1st, Belle Glade, FL 33430 | 2012-09-12 |
| 1831481480 | Maria E Pearson | Registered Nurse | 5701 Shingle Creek Parkway, Suite 200, Minneapolis, MN 33430 | 2011-05-13 |
| 1356632145 | Reflections of Jupiter LLC | Clinic/Center | 306 Sw10 Th Street, Belle Glade, FL 33430 | 2011-04-27 |
| 1417289943 | Positive Black Investors of Properties,inc | Community Based Residential Treatment Facility, Mental Illness | 20 Poinana Drive, Apt.@20, Belle Glade, FL 33430 | 2010-02-09 |
| 1275789414 | Lakeshore Anesthesia, Inc. | Anesthesiology | 39200 Hooker Highway, Belle Glade, FL 33430 | 2008-08-07 |
| 1598824435 | Florida Rehabilitation Services | Physical Therapist | 1100 S Main Street, Suite 13, Belle Glade, FL 33430 | 2006-12-06 |
| 1508951922 | National Medical Care, Inc. | Clinic/Center | 933 S.e. 1st Street, Belle Glade, FL 33430 | 2006-10-03 |
| 1124123492 | Belle Glade Discount Pharmacy | Pharmacy | 1508 Sw Ave E, Belle Glade, FL 33430 | 2006-09-13 |
| 1699756312 | Rahat Abbas | Internal Medicine | 349 Nw 16th St, Suite 104, Belle Glade, FL 33430 | 2005-11-09 |
| Find all providers in zip 33430 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487104980 | Jessica Rose Jones | Nurse Practitioner | 927 Se 1st St, Belle Glade, FL 33430-4305 | 2016-10-07 |
| 1710060421 | Susan S Mcmillan | Nurse Practitioner | 425 Se 2nd Street, Belle Glade, FL 33430-3511 | 2006-10-24 |
| 1639250285 | Jemelia K Murvin | Nurse Practitioner | 349 Nw 16th St Ste 104, Belle Glade, FL 33430-2839 | 2006-10-18 |
| 1568499622 | Ann Marie Patricia March | Nurse Practitioner | 941 Se 1st St, Belle Glade, FL 33430-4353 | 2006-06-26 |
| 1417916172 | Feddy Sandy | Nurse Practitioner | 217 W Avenue A, Belle Glade, FL 33430-3019 | 2006-03-21 |
| 1144730565 | Simone Odetta Stewart | Nurse Practitioner | 232 S Main St, Belle Glade, FL 33430-3426 | 2017-10-11 |
| 1992215156 | My Home Medical Service Corp | Nurse Practitioner | 301 Se 1st St, Belle Glade, FL 33430-3503 | 2017-10-02 |
| 1487004594 | Jesula Petit | Nurse Practitioner | 941 Se 1st St, Belle Glade, FL 33430-4353 | 2016-06-20 |
| 1568889335 | Ekom Nnamdie | Nurse Practitioner | 1301 S Main St, Belle Glade, FL 33430-4998 | 2014-03-18 |
| 1295177798 | Ketely Philistin | Nurse Practitioner | 1301 S Main St, Belle Glade, FL 33430-4998 | 2013-07-24 |
| Find all providers in BELLE GLADE | ||||
| City | BELLE GLADE |
| Zip Code | 33430 |
Please comment or provide details below to improve the information on LAKE MEDICAL CENTER PLLC.
| 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.