Organization
LAKES HEALTHCARE & SPA
Active
Other names
Lakes Healthcare & Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY CLARA MANDULEY-BOUZA (OWNER)
(786) 261-9628
Entity
Organization
Contact information
Practice address
15700 NW 67TH AVE, SUITE 101, MIAMI LAKES, FL 33014-2109
(305) 698-7074
(305) 698-7411
Mailing address
15700 NW 67TH AVE, SUITE 101, MIAMI LAKES, FL 33014-2109
(305) 698-7074
(305) 698-7411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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