Organization
DR. LAKE AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH NAVAS (SOCIAL WORKER THERAPIST)
(828) 744-9596
Entity
Organization
Contact information
Practice address
130 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 444-8760
Mailing address
10863 BOYETTE RD, RIVERVIEW, FL 33569-8012
(813) 444-8760
(813) 437-1432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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