Organization
LAKESIDE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LEACH SR. (HOSPITAL ADMINISTRATOR)
(561) 996-6571
Entity
Organization
Contact information
Practice address
39200 HOOKER HWY, BELLE GLADE, FL 33430-5368
(561) 996-6571
Mailing address
39200 HOOKER HWY, BELLE GLADE, FL 33430-5368
(561) 996-6571
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
OS12041
FL
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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