# LAKES HEALTHCARE & WELLNESS

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

## Provider details

- **NPI number:** 1982572053
- **Authorized official:** MS. SAMANTHA BOUZA CEO (CEO)
- **Authorized official phone:** (786) 261-9628

## Contact information

- **Practice address:** 8205 COMMERCE WAY STE 125, MIAMI LAKES, FL 33016-1668
- **Practice address phone:** (786) 261-9628
- **Practice address fax:** (305) 827-5545
- **Mailing address:** 8205 COMMERCE WAY STE 125, MIAMI LAKES, FL 33016-1668
- **Mailing address phone:** (786) 261-9628
- **Mailing address fax:** (305) 827-5545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | Yes |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | Yes |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | NULL | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2025
- **Last updated:** 10/29/2025