Organization
MIAMI LAKES MEDICAL CENTER, LLC
Active
Organization
MIAMI LAKES MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO ELIZALDE (MD)
(305) 621-8051
Entity
Organization
Contact information
Practice address
15536 NW 77TH CT, MIAMI LAKES, FL 33016-5804
(305) 621-8051
(305) 621-8053
Mailing address
15536 NW 77TH CT, MIAMI LAKES, FL 33016-5804
(305) 621-8051
(305) 621-8053
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106732
FL
Other
Enumeration date
12/04/2014
Last updated
06/03/2025
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