Organization
LAKES INTERVENTIONAL RADIOLOGY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOISES ROIZENTAL (PRESIDENT)
(305) 907-6191
Entity
Organization
Contact information
Practice address
1380 NE MIAMI GARDENS DR STE 240, NORTH MIAMI BEACH, FL 33179-4750
(305) 907-6191
(305) 907-6192
Mailing address
16855 NE 2ND AVE STE 305, NORTH MIAMI BEACH, FL 33162-1744
(305) 907-6191
(305) 907-6192
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
OSR807
FL
Other
Enumeration date
12/02/2011
Last updated
08/27/2025
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