Organization
LAKE CASE MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ALBERTO DIAZ (PRESIDENT)
(786) 230-5794
Entity
Organization
Contact information
Practice address
8140 NW 155TH ST STE 101, MIAMI LAKES, FL 33016-5847
(305) 602-8193
(305) 602-8194
Mailing address
8140 NW 155TH ST STE 101, MIAMI LAKES, FL 33016-5847
(305) 602-8193
(305) 602-8194
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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