Organization
LAKES HEALTHCARE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA BOUZA CEO (CEO)
(786) 261-9628
Entity
Organization
Contact information
Practice address
8205 COMMERCE WAY STE 125, MIAMI LAKES, FL 33016-1668
(786) 261-9628
(305) 827-5545
Mailing address
8205 COMMERCE WAY STE 125, MIAMI LAKES, FL 33016-1668
(786) 261-9628
(305) 827-5545
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
—
—
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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