LAKESIDE ENDOCRINE ASSOCIATES, INC (NPI# 1871041681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871041681 |
| Entity Type | Organization |
| Organization Name | LAKESIDE ENDOCRINE ASSOCIATES, INC |
| Practice Address |
1667 N Clyde Morris Blvd Suite 2 Daytona Beach FL 32117-5500 |
| Practice Telephone | 3862741944 |
| Mailing Telephone | 3862741944 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | MRS. NEIME O SANCHEZ-GIVENS (PRESIDENT) |
| Authorized Official Telephone | 3862374390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKESIDE ENDOCRINE ASSOCIATES, INC | 1667 N Clyde Morris Blvd Ste2, Daytona Beach, FL 32117-5500 |
| Street Address |
1667 N CLYDE MORRIS BLVD SUITE 2 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527038 | Arnold Vera | Internal Medicine | 1667 N Clyde Morris Blvd, Suite 2, Daytona Beach, FL 32117-5500 | 2005-09-08 |
| 1003204462 | Ashley Nicole Briggs | Nurse Practitioner | 1667 N Clyde Morris Blvd, Suite 2, Daytona Beach, FL 32117-5500 | 2015-01-07 |
| 1548673742 | Silva Dental Pa | Clinic/Center | 1667 N Clyde Morris Blvd, Suite 1, Daytona Beach, FL 32117-5500 | 2014-06-04 |
| 1073863163 | Kimberly Milligan Shapiro | Physician Assistant | 1667 N Clyde Morris Blvd, Daytona Beach, FL 32117-5500 | 2012-09-15 |
| 1265680706 | Anny B Vera | Dentist | 1667 N Clyde Morris Blvd, Suite 1, Daytona Beach, FL 32117-5500 | 2008-09-08 |
| 1841375193 | Vera Endocrine Associates Inc | Specialist | 1667 N Clyde Morris Blvd, Suite 2, Daytona Beach, FL 32117-5500 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356432090 | Frank R Kohler Jr. | Internal Medicine | 1667 N Clyde Morris Blvd Ste 2, Daytona Beach, FL 32117-5500 | 2006-09-27 |
| 1275527038 | Arnold Vera | Internal Medicine | 1667 N Clyde Morris Blvd, Suite 2, Daytona Beach, FL 32117-5500 | 2005-09-08 |
| 1609111855 | Digon Diabetes and Endocrinology, P.a. | Internal Medicine | 311 N Clyde Morris Blvd, Suite 440, Daytona Beach, FL 32114-2781 | 2012-11-29 |
| 1619032174 | Omayra M. Quijano-vega | Internal Medicine | 1667 N Clyde Morris Blvd Ste 2, Daytona Beach, FL 32117-5500 | 2006-12-26 |
| 1801815865 | Hhcsi Halifax Endocrinology | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-07-19 |
| 1699724807 | Roger Harrison Bower | Internal Medicine | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2006-05-08 |
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| 1598300741 | Center for Integrative & Functional Endocrinology LLC | Internal Medicine | 17900 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2809 | 2019-11-12 |
| 1346801834 | Medical Centers of Miami LLC | Internal Medicine | 6600 Cow Pen Rd Ste 100, Miami Lakes, FL 33014-7618 | 2019-06-25 |
| 1013402783 | Thyroid Diabetes Endocrinology and Wellness Inc | Internal Medicine | 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 | 2018-06-26 |
| 1447750773 | Smh Physician Services Inc | Internal Medicine | 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 | 2018-02-13 |
| 1376087593 | Dar Endocrinology Services LLC | Internal Medicine | 100 Buenaventura Blvd Ste 102, Kissimmee, FL 34743-4513 | 2016-12-07 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.