LAKESIDE OCCUPATIONAL MEDICAL CENTERS INC (NPI# 1578971388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578971388 |
| Entity Type | Organization |
| Organization Name | LAKESIDE OCCUPATIONAL MEDICAL CENTERS INC |
| Practice Address |
12120 Cortez Blvd Brooksville FL 34613-5514 |
| Mailing Address |
7527 Ulmerton Rd Largo FL 33771-4548 |
| Practice Telephone | 3525968700 |
| Practice Fax Number | 3525961972 |
| Mailing Telephone | 7275860138 |
| Mailing Fax Number | 7275866954 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | ARLENE N GUZIK (VP OPERATIONS/ASISSTANT MEDICAL DR) |
| Authorized Official Telephone | 7275327644 |
| Authorized Official Credential | DNP, ARNP |
| Is Organization Subpart | N |
| 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 |
12120 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718999 | Sunstate Healthcare LLC | Internal Medicine | 12120 Cortez Blvd, Brooksville, FL 34613-5514 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| 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 |
| 1164849931 | Community Case Management Services, LLC | Clinic/Center | 815 Nw 57th Ave Ste 400, Miami, FL 33126 | 2014-03-18 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
Please comment or provide details below to improve the information on LAKESIDE OCCUPATIONAL MEDICAL CENTERS INC.
| 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.