Lakes Healthcare & Spa

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAKES HEALTHCARE & SPA

Practice address

15700 NW 67TH Ave
Suite 101
Miami Lakes, FL 33014-2109

Phone

(305) 698-7074

Fax

(305) 698-7411

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Cindy Clara Manduley-Bouza

Title

Owner

Phone

(786) 261-9628

Specialties & licenses 1

Addresses

Other names 1

• Lakes Healthcare & Spa Former legal business name

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1104298488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 NW 67TH AVE",
            "address_2": "SUITE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142109",
            "telephone_number": "305-698-7074",
            "fax_number": "305-698-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 NW 67TH AVE",
            "address_2": "SUITE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142109",
            "telephone_number": "305-698-7074",
            "fax_number": "305-698-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES HEALTHCARE & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "MANDULEY-BOUZA",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-261-9628",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Healthcare & Spa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emily Elizabeth Lake, LMFT
• Michelle Christina Lake, LMHC, EDD
• Lakes Ambulatory Surgical Center
• Lakes Dialysis Center,Inc
• Lakes Equipment & Supplies, Inc.
• Lakes Healthcare & Wellness
• Lakes Imaging Services Inc
• Lakes Medical Supply Inc
• Lakes Radiology Inc
• Lakes Radiology Inc

• Specialist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.