# LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.

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

## Provider details

- **NPI number:** 1386874683
- **Authorized official:** MRS. ARLENE GUZIK DNP (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (727) 532-7644

## Contact information

- **Practice address:** 900 CARILLON PKWY, SUITE 106, ST PETERSBURG, FL 33716-1115
- **Practice address phone:** (727) 532-7661
- **Practice address fax:** (727) 561-9865
- **Mailing address:** 7527 ULMERTON RD, LARGO, FL 33771-4548
- **Mailing address phone:** (727) 532-7658
- **Mailing address fax:** (727) 586-6954

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2009
- **Last updated:** 01/14/2010