Lakeside of Lakeland Inc

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

ME 25396 Issued in FL

Legal business name

LAKESIDE OF LAKELAND INC

Practice address

7527 Ulmerton Rd
Largo, FL 33771-4548

Phone

(727) 586-0138

Fax

(727) 586-6954

NPI assigned

Jul 8, 2011

Last updated

Jul 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Arlene Guzik, ARNP

Title

VP Operations

Phone

(727) 532-7644

Specialties & licenses 1

Addresses

Tax ID family

Lakeside Medical Centers Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeside Medical Centers, Inc.

  • Occupational Medicine Clinic/Center
  • Lakeland, FL
  • NPI 1255634143
  NPD tax ID
• Lakeside Medical Centers, Inc.

  • Occupational Medicine Clinic/Center
  • Bartow, FL
  • NPI 1447553334
  NPD tax ID

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.

• Richard Fredercik Johnson, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Largo, FL
  • NPI 1164422077
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1144517202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714548",
            "telephone_number": "727-586-0138",
            "fax_number": "727-586-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714548",
            "telephone_number": "727-586-0138",
            "fax_number": "727-586-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OF LAKELAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "GUZIK",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "727-532-7644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "FL",
            "license": "ME 25396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Endocrinology and Diabetes, PLLC (Lake Endocrinology Consulting, PLLC)
• Lake House Assisted Living LLC (Lake House Assisted Living)
• Brian Matthew Lake, D.O.
• Lakeside Occuapatinal Medical Centers Inc
• Lakeside Occupational Medical Centers, Inc.
• Alex Nghia Lam
• Kyle Lamar, DO
• Kelsey Mae Lamb, DO
• Cynthia Sandy Lambert
• Kayleigh Lambert

• Occupational Medicine Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Occupational Medicine Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.