NPIMap

Organization Active NPI

Lakeside Occupational Medical Centers, Inc.

  • Occupational Medicine Clinic/Center
  • Tampa, FL
National Provider Identifier
1194763557
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.
Practice address
5406 Hoover Blvd
Tampa, FL 33634-5330
Phone
(813) 248-8149
Fax
(813) 884-7085
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Mrs. Sandra L. Driver, RN
Title
VP of Operations
Phone
(727) 532-7647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X FL
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

5406 Hoover Blvd
Tampa, FL 33634-5330

Mailing address

5406 Hoover Blvd
Tampa, FL 33634-5330
Phone (813) 248-8149

Other names 1

  • (former occupant at this address was Medero medical-Tampa West) Other name

National Provider Directory

National Provider Directory
Tax ID family
Airport Clinic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1194763557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330",
            "telephone_number": "813-248-8149",
            "fax_number": "813-884-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330",
            "telephone_number": "813-248-8149",
            "fax_number": "813-884-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "727-532-7647",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(former occupant at this address was Medero medical-Tampa West)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.