Lakes Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKES MEDICAL SUPPLY INC

Practice address

5881 NW 151St St
Miami Lakes, FL 33014-2497

Phone

(305) 456-5299

Fax

(305) 456-5042

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Lazaro Fernandez Gomez

Title

Manager/Owner

Phone

(305) 456-5299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1255935748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142497",
            "telephone_number": "305-456-5299",
            "fax_number": "305-456-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142497",
            "telephone_number": "305-456-5299",
            "fax_number": "305-456-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ GOMEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "305-456-5299"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakes Dialysis Center,Inc
• Lakes Equipment & Supplies, Inc.
• Lakes Healthcare & Spa
• Lakes Healthcare & Wellness
• Lakes Imaging Services Inc
• Lakes Radiology Inc
• Lakes Radiology Inc
• Lakes Rehab
• Lakes Rehabilitation Center Inc
• Lakes Solutions Supply LLC

• Durable Medical Equipment & Medical Supplies in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.