Lake'S Medical Office in Hollywood - Health Service
Lake'S Medical Office - NPI 1295935013
Lake'S Medical Office is a Health Service in Hollywood, Florida. Lake'S Medical Office practices all healthcare services and medical treatments related to Health Service. The NPI Number for Lake'S Medical Office is 1295935013. The last update date is 2007-07-19.
Lake'S Medical Office's current location address is 6260 Johnson St, Hollywood, Florida. You can contact this provider via phone number 9549618195. The mailing address for Lake'S Medical Office is 6260 Johnson St, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake'S Medical Office |
|---|---|
| Address | 6260 Johnson St, Hollywood, Florida |
| Phone Number | 9549618195 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Acosta C Manuel |
| Credentials | OWNER |
| Telephone Number | 9549618195 |
NPI Number Detail
| NPI Number | 1295935013 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 6260 Johnson St |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330245932 |
| Phone Number | 9549618195 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | HCC4716 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
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Post Comment/ Review Below
What is the unique identification code assigned to Lake'S Medical Office by the Centers for Medicare & Medicaid Services?
The Lake'S Medical Office has been issued the NPI (National Provider Identifier) 1295935013. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lake'S Medical Office's facilities are geographically located?
The facilities of Lake'S Medical Office are physically situated at the following location: 6260 Johnson St, Hollywood, FL, 330245932.
What is Lake'S Medical Office's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lake'S Medical Office is Health Service, and the taxonomy classification code that categorizes this area of expertise is 261Qh0100X.
On what date did the Lake'S Medical Office receive its 1295935013 assignment from the Centers for Medicare & Medicaid Services?
The Lake'S Medical Office was assigned its 1295935013 by the Centers for Medicare & Medicaid Services on 2007-07-19.
As of what date was the information regarding Lake'S Medical Office, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake'S Medical Office, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-19.
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