Lakewood Park Walk-in Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAKEWOOD PARK WALK-IN CLINIC, LLC

Practice address

5059 Turnpike Feeder Rd
Fort Pierce, FL 34951-2246

Phone

(772) 465-8588

NPI assigned

Jun 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Walker

Title

VP

Phone

(772) 465-8588

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elio A Fernandez, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1720073877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013959394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 TURNPIKE FEEDER RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512246",
            "telephone_number": "772-465-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 TURNPIKE FEEDER RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512246",
            "telephone_number": "772-465-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD PARK WALK-IN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "772-465-8588"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Alexander La Roz, MD
• Zachary Alec Ladd
• Miseline Lagesse, FNP
• Fedeline Laguerre
• Lakeview Medical Supplies LLC
• Jennifer Caroline Lamb, MSW
• Kendalyn Rebekah Lambert
• Jacques J Lamothe, MD
• Judith Landron
• Ashley Lane

• Internal Medicine Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.