Active NPI
Lakeside Occupational Medical Centers, Inc.
- Occupational Medicine Clinic/Center
- St Petersburg, FL
National Provider Identifier
1386874683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.
- Practice address
- 900 Carillon Pkwy
Suite 106
St Petersburg, FL 33716-1115 - Phone
- (727) 532-7661
- Fax
- (727) 561-9865
- NPI assigned
- Jul 21, 2009
- 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
- Mrs. Arlene Guzik, DNP
- Title
- Vice President of Operations
- Phone
- (727) 532-7644
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
900 Carillon Pkwy
Suite 106
St Petersburg, FL 33716-1115
Mailing address
7527 Ulmerton Rd
Largo, FL 33771-4548
Phone (727) 532-7658
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1386874683",
"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": "727-532-7658",
"fax_number": "727-586-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CARILLON PKWY",
"address_2": "SUITE 106",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161115",
"telephone_number": "727-532-7661",
"fax_number": "727-561-9865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-21",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "GUZIK",
"authorized_official_first_name": "ARLENE",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "727-532-7644",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.