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Organization
LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.
Active
Organization
LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.
Active
Other names
(former occupant at this address was Medero medical-Tampa West)
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA L. DRIVER RN (VP OF OPERATIONS)
(727) 532-7647
Entity
Organization
Contact information
Practice address
5406 HOOVER BLVD, TAMPA, FL 33634-5330
(813) 248-8149
(813) 884-7085
Mailing address
5406 HOOVER BLVD, TAMPA, FL 33634-5330
(813) 248-8149
(813) 884-7085
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
—
FL
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/04/2006
Last updated
12/07/2009
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