Lakes Ambulatory Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LAKES AMBULATORY SURGICAL CENTER

Practice address

15600 NW 67TH Ave Ste 105
Miami Lakes, FL 33014-2175

Phone

(305) 556-8353

Fax

(305) 827-2415

NPI assigned

Aug 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Gonzalez, MBA

Title

Owner/Manager

Phone

(305) 556-8353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1033497375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 NW 67TH AVE STE 105",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142175",
            "telephone_number": "305-556-8353",
            "fax_number": "305-827-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NW 67TH AVE STE 105",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142175",
            "telephone_number": "305-556-8353",
            "fax_number": "305-827-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AMBULATORY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "305-556-8353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Medical Group, LLC
• Lake Medical Group, LLC
• Lake Medical Services Inc
• Emily Elizabeth Lake, LMFT
• Michelle Christina Lake, LMHC, EDD
• Lakes Dialysis Center,Inc
• Lakes Equipment & Supplies, Inc.
• Lakes Healthcare & Spa
• Lakes Healthcare & Wellness
• Lakes Imaging Services Inc

• Ambulatory Surgical Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.