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Organization

LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.

Active
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Organization

LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.

Active
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
9815 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-8917
(407) 851-0883
(407) 857-4722
Mailing address
9815 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-8917
(407) 851-0883
(407) 857-4722

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL

Other

Enumeration date
11/24/2009
Last updated
11/24/2009
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