# LAKESIDE OCCUPATIONAL MEDICAL CENTERS INC

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

## Provider details

- **NPI number:** 1578971388
- **Authorized official:** ARLENE N GUZIK DNP, ARNP (VP OPERATIONS/ASISSTANT MEDICAL DR)
- **Authorized official phone:** (727) 532-7644

## Contact information

- **Practice address:** 12120 CORTEZ BLVD, BROOKSVILLE, FL 34613-5514
- **Practice address phone:** (352) 596-8700
- **Practice address fax:** (352) 596-1972
- **Mailing address:** 7527 ULMERTON RD, LARGO, FL 33771-4548
- **Mailing address phone:** (727) 586-0138
- **Mailing address fax:** (727) 586-6954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | ME25396 | FL | Yes |

## Other

- **Enumeration date:** 07/24/2014
- **Last updated:** 07/24/2014