Active NPI
Miami Lakes Medical Solutions, Inc
- Pain Medicine Physician
- Fort Myers, FL
National Provider Identifier
1376852871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 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 DirectoryLocations
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.