DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MED LAKE CENTER

MEDICARE: MED LAKE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance OrganizationMD 62905FL

General Provider Information

NPI Number : 1063814465
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED LAKE CENTER
Provider Business Mailing Address
First Line : 16371 NW 67TH AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6044
Country : US
Telephone Number : 786-332-4991
Fax Number : 786-409-2037
Provider Business Practice Location Address
First Line : 16371 NW 67TH AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6044
Country : US
Telephone Number : 786-332-4991
Fax Number : 786-409-2037
Authorized Official
Title or Position : CEO MANAGER
Name : MRS. MARIA GISSELLE BOU
Credential : CEO
Telephone Number : 786-332-4991
Provider Enumeration Date : 09/17/2014
Last Update Date : 09/17/2014

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:
701 NW 27TH AVE
MIAMI, FL
33125-3012
Practice Phone: 786-744-1900
Practice Fax: 305-760-4141
1962570309 — MRS. VIVIAN P HERNANDEZ-TRUJILLO M.D.,
Practice Location Address:
16371 NW 67TH AVE
MIAMI LAKES, FL
33014-6044
Practice Phone: 786-646-9280
Practice Fax:
1386790202 — DR. REINALDO HORTA D.M.D.
Practice Location Address:
16363 NW 67TH AVE
MIAMI LAKES, FL
33014-6044
Practice Phone: 305-821-2233
Practice Fax:
1205145307 — MIAMI LAKES FAMILY CHIROPRACTIC, P.A.
Practice Location Address:
16383 NW 67TH AVE
MIAMI LAKES, FL
33014-6044
Practice Phone: 305-823-4300
Practice Fax: 305-356-7159
1598185480 — CAMILE ORTEGA D.O.
Practice Location Address:
16371 NW 67TH AVE
MIAMI LAKES, FL
33014-6044
Practice Phone: 786-646-9280
Practice Fax:
1841699584 — G & I MEDICAL RESEARCHLLC.
Practice Location Address:
16371 NW 67TH AVE
MIAMI LAKES, FL
33014-6044
Practice Phone: 786-332-4991
Practice Fax: 786-409-2037

Directions to “MED LAKE CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.