Organization
LAGO MENTAL HEALTH CORP
Active
Other names
Lago Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ADLAY LAGO JR (AUTHORIZED OFFICIAL)
(786) 483-5523
Entity
Organization
Contact information
Practice address
11055 SW 186TH ST STE 207, CUTLER BAY, FL 33157-6842
(786) 692-5743
(786) 422-9043
Mailing address
11055 SW 186TH ST STE 207, CUTLER BAY, FL 33157-6842
(786) 692-5743
(786) 422-9043
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112907000
—
FL
Enumeration date
12/14/2021
Last updated
03/11/2025
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