Organization
LAKE DRIVE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BARLOW (PRESIDENT, JUPITER PROFESSIONAL DEV)
(561) 748-2889
Entity
Organization
Contact information
Practice address
2675 LAKE DR, RIVIERA BEACH, FL 33404-3813
(561) 748-2889
(561) 748-1523
Mailing address
5220 HOOD RD, SUITE 101, PALM BEACH GARDENS, FL 33418-8910
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
06/25/2013
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