Organization
CLIFFORD A LAKIN MD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD A LAKIN M.D. (OWNER)
(954) 491-1095
Entity
Organization
Contact information
Practice address
4640 N FEDERAL HWY STE D, FT LAUDERDALE, FL 33308-5205
(954) 491-1095
(954) 491-1097
Mailing address
4640 N FEDERAL HWY STE D, FT LAUDERDALE, FL 33308-5205
(954) 491-1095
(954) 491-1097
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME16123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0594521-00
—
FL
Enumeration date
10/14/2008
Last updated
10/14/2008
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