Organization Active NPI

Miami Lakes Medical Solutions, Inc

  • Pain Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1376852871
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MIAMI LAKES MEDICAL SOLUTIONS, INC
Practice address
3822 Broadway
Suites a and C
Fort Myers, FL 33901-8148
Phone
(239) 274-3004
Fax
(239) 274-6007
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Kristen J. Touhey
Title
Managing Member
Phone
(239) 274-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3822 Broadway
Suites a and C
Fort Myers, FL 33901-8148

Mailing address

8061 NW 155TH St
Miami Lakes, FL 33016-5874
Phone (239) 274-3004

National Provider Directory

National Provider Directory

Locations

8061 NW 155th St
Miami Lakes, FL 33016
Phone (305) 826-5700

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1376852871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165874",
            "telephone_number": "239-274-3004",
            "fax_number": "239-274-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 BROADWAY",
            "address_2": "SUITES A AND C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018148",
            "telephone_number": "239-274-3004",
            "fax_number": "239-274-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI LAKES MEDICAL SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "TOUHEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "239-274-3004"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.