Active NPI
OBGYN Specialists of Lakeside LLC
- Obstetrics & Gynecology Physician
- Belle Glade, FL
National Provider Identifier
1134467129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME35335
- Legal business name
- OBGYN SPECIALISTS OF LAKESIDE LLC
- Practice address
- 39200 Hooker Hwy
Belle Glade, FL 33430-5368 - Phone
- (561) 996-6571
- Fax
- (561) 992-9722
- NPI assigned
- Jan 25, 2013
- Organization subpart
- Yes
- Parent organization
- OBGYN SPECIALISTS OF THE PALM BEACHES PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Burigo, MD
- Title
- Manager
- Phone
- (561) 275-7509
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME35335 | FL | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | ME35335 | FL |
Addresses
Primary practice location
39200 Hooker Hwy
Belle Glade, FL 33430-5368
Mailing address
2979 Pga Blvd
Suite 200
Palm Beach Gardens, FL 33410-2911
Phone (561) 275-7604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008257000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Part of
- Perinatal Specialists of the Palm Beaches
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467763200000",
"number": "1134467129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2979 PGA BLVD",
"address_2": "SUITE 200",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102911",
"telephone_number": "561-275-7604",
"fax_number": "561-802-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39200 HOOKER HWY",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334305368",
"telephone_number": "561-996-6571",
"fax_number": "561-992-9722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBGYN SPECIALISTS OF LAKESIDE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OBGYN SPECIALISTS OF THE PALM BEACHES PA",
"enumeration_date": "2013-01-25",
"last_updated": "2016-07-06",
"status": "A",
"authorized_official_last_name": "BURIGO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-275-7509",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME35335",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "FL",
"license": "ME35335",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008257000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belle Glade, FL
- New Life Physical & Massage Therapy
- Noble Cart LLC
- Norpro Prosthetics and Orthotics, Inc.
- NP Vickers Accessible Wellness and Healthcare Clinic, LLC
- NRC DNP Telehealth LLC
- Christian A Okafor, PA-C
- Eddie Eugene Oliver, MD
- Ordean Martins Social & Recreational Center LLC
- Palm Glades Rural Health Associates, Inc.
- Palm Glades Rural Health Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.