NPIMap

Organization Active NPI

Lakeside of Orlando Inc

  • Occupational Medicine Clinic/Center
  • Orlando, FL
National Provider Identifier
1386961894
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
ME25396 Issued in FL
Legal business name
LAKESIDE OF ORLANDO INC
Practice address
2314 N Orange Blossom TRL
Orlando, FL 32804-4803
Phone
(407) 428-9233
Fax
(407) 428-9667
NPI assigned
Apr 23, 2010
Organization subpart
Yes
Parent organization
LAKESIDE OCCUPATIONAL MEDICAL CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Arlene Guzik
Title
VP Operation, Assistant Medical Dir
Phone
(727) 532-7644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X ME25396 FL Primary

Addresses

Primary practice location

2314 N Orange Blossom TRL
Orlando, FL 32804-4803

Mailing address

7527 Ulmerton Rd
Largo, FL 33771-4548
Phone (727) 586-0138

National Provider Directory

National Provider Directory
Part of
Airport Clinic

Locations

7527 Ulmerton Rd
Ste D
Largo, FL 33771

8723 International Dr
Ste 115
Orlando, FL 32819
Phone (407) 370-4798

2314 N Orange Blossom Trl
Orlando, FL 32804
Phone (407) 428-9233

Practitioners & affiliated clinicians

Practitioners 8

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": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1386961894",
    "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": "727-586-0138",
            "fax_number": "727-586-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044803",
            "telephone_number": "407-428-9233",
            "fax_number": "407-428-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OF ORLANDO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKESIDE OCCUPATIONAL MEDICAL CENTERS INC",
        "enumeration_date": "2010-04-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "GUZIK",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "VP OPERATION, ASSISTANT MEDICAL DIR",
        "authorized_official_telephone_number": "727-532-7644"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "FL",
            "license": "ME25396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.