LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC. (NPI# 1487884797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487884797 |
| Entity Type | Organization |
| Organization Name | LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC. |
| Practice Address |
4728 N Habana Ave Suite#102 Tampa FL 33614-7100 |
| Mailing Address |
7527 Ulmerton Rd Largo FL 33771-4548 |
| Practice Telephone | 8138704485 |
| Practice Fax Number | 8135548116 |
| Mailing Telephone | 7275860138 |
| Mailing Fax Number | 7275866954 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2014-06-09 |
| Authorized Official Name | ARLENE GUZIK (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7275327644 |
| Authorized Official Credential | DNP, ARNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871790303 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 2303 Airport Rd, Plant City, FL 33563-1127 | 2007-06-28 |
| 1639376163 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 2314 N Orange Blossom Trl, Orlando, FL 32804-4803 | 2007-06-28 |
| 1194763557 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 5406 Hoover Blvd, Tampa, FL 33634-5330 | 2006-06-04 |
| 1366832305 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 934 Oakfield Dr, Brandon, FL 33511-4950 | 2015-01-29 |
| 1699004259 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 5406 Hoover Blvd, Suite 21, Tampa, FL 33634-5330 | 2009-12-10 |
| 1053649368 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 9580 W Colonial Dr, Ocoee, FL 34761-6947 | 2009-11-24 |
| 1306174628 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 9815 S Orange Blossom Trl, Orlando, FL 32837-8917 | 2009-11-24 |
| 1386874683 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 900 Carillon Pkwy, Suite 106, St Petersburg, FL 33716-1115 | 2009-07-21 |
| 1407053069 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 2323 Curlew Rd, Suites 2a & 2b, Dunedin, FL 34698-9330 | 2007-06-28 |
| 1295932796 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 3745 33rd St N, Suite A, St Petersburg, FL 33713-1506 | 2007-06-28 |
| Street Address |
4728 N HABANA AVE SUITE#102 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983614 | John M. Rayhack | Orthopaedic Surgery | 4728 N Habana Ave, Ste 204, Tampa, FL 33614-7147 | 2005-06-24 |
| 1700327582 | Shawn Coke | Physical Therapy Assistant | 4728 N Habana Ave, Suite 202, Tampa, FL 33614-7100 | 2017-03-14 |
| 1073054888 | Leah Crawford | Physical Therapist | 4728 N Habana Ave, Suite 202, Tampa, FL 33614-7100 | 2017-03-13 |
| 1659820611 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 4728 N Habana Ave, Suite 102, Tampa, FL 33614-7100 | 2016-09-30 |
| 1699949909 | Wrist and Hand Center P.a. | Orthopaedic Surgery | 4728 N Habana Ave, Ste 204, Tampa, FL 33614-7147 | 2008-04-17 |
| 1396836425 | Francisco M Gomez | Orthopaedic Surgery | 4728 N Habana Ave, Ste 202, Tampa, FL 33614-7100 | 2006-09-27 |
| 1609886373 | Sonali Kiran Judd | Family Medicine | 4728 N Habana Ave, Suite 202, Tampa, FL 33614-7100 | 2006-08-08 |
| 1821057902 | Bayside Pediatrics Inc | Pediatrics | 4728 N Habana Ave, Ste 101, Tampa, FL 33614-7100 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205047099 | Baycare Occupational Health | Clinic/Center | 4215 N Macdill Ave, Tampa, FL 33607-6341 | 2007-05-24 |
| 1649487802 | Health & Well-being Therapy Center II, Inc. | Clinic/Center | 2700 N Macdill Ave, Ste 110, Tampa, FL 33607-2284 | 2007-05-17 |
| 1194763557 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 5406 Hoover Blvd, Tampa, FL 33634-5330 | 2006-06-04 |
| 1699004259 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 5406 Hoover Blvd, Suite 21, Tampa, FL 33634-5330 | 2009-12-10 |
| 1770780272 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 1750 N 50th St, Tampa, FL 33619-3104 | 2007-06-28 |
| 1134235872 | Emergency Medicine of Florida, Inc. | Clinic/Center | 9210 Florida Palm Dr, Tampa, FL 33619-4352 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197491 | Cano Occupational Medicine, LLC | Clinic/Center | 7911 Nw 72nd Ave Ste 111, Medley, FL 33166-2221 | 2019-07-26 |
| 1285153429 | Dynamic Theraplay | Clinic/Center | 9278 Legare St, Boca Raton, FL 33434-5905 | 2017-09-19 |
| 1114455490 | Zamoyski, LLC | Clinic/Center | 17100 Collins Ave Ste 210, Sunny Isles Beach, FL 33160-3675 | 2017-05-31 |
| 1124564935 | Holy Cross Hospital | Clinic/Center | 10098 Stonehenge Cir Apt 403, Boynton Beach, FL 33437-3542 | 2017-01-18 |
| 1861852535 | Life Extension Clinics | Clinic/Center | 4130 Salisbury Rd Ste 2400, Jacksonville, FL 32216-8052 | 2016-02-24 |
| 1558743021 | Grant William Fisher | Clinic/Center | 2065 Airport Blvd Ste 300, Pensacola, FL 32504-5930 | 2015-06-22 |
| 1952780702 | Y&a Medical Center Corp | Clinic/Center | 3750 W 16th Ave Ste 130u, Hialeah, FL 33012-4683 | 2015-05-27 |
| 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.