Organization
LAKESIDE OF LAKELAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE GUZIK (VP OPERATIONS)
(727) 532-7644
Entity
Organization
Contact information
Practice address
5040 US HIGHWAY 98 N, LAKELAND, FL 33809-0511
(863) 859-3511
Mailing address
7527 ULMERTON RD, LARGO, FL 33771-4548
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
ME 25396
FL
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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