# LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306174628
- **Authorized official:** MRS. SANDRA L. DRIVER RN (VP OF OPERATIONS)
- **Authorized official phone:** (727) 532-7647

## Contact information

- **Practice address:** 9815 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-8917
- **Practice address phone:** (407) 851-0883
- **Practice address fax:** (407) 857-4722
- **Mailing address:** 9815 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-8917
- **Mailing address phone:** (407) 851-0883
- **Mailing address fax:** (407) 857-4722

## Taxonomy

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

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 11/24/2009