Lakeside Medical and Aesthetic Centre LC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7420 Issued in FL

Legal business name

LAKESIDE MEDICAL AND AESTHETIC CENTRE LC

Practice address

600 N Hiatus Rd
Suite 203
Pembroke Pines, FL 33026-5207

Phone

(954) 392-7157

Fax

(954) 443-4941

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Lydia Fuxa

Title

Adminstrator

Phone

(954) 392-7157

Specialties & licenses 2

Addresses

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Armando a de Feria MD PA

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1750541793

  Member Of

  NPD member
• Marlene Tages Cordova, DO, PA

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1972021400

  Member Of

  NPD member

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1801069224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N HIATUS RD",
            "address_2": "SUITE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265207",
            "telephone_number": "954-392-7157",
            "fax_number": "954-443-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIATUS RD",
            "address_2": "SUITE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265207",
            "telephone_number": "954-392-7157",
            "fax_number": "954-443-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MEDICAL AND AESTHETIC CENTRE LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "FUXA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "954-392-7157"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7420",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navid Lajevardi, DMD
• Lidie Lajoie, M.D.
• Lakes Mall Dental
• Lakes Mall Dental Center , PA
• Lakeside Med LLC
• Lakeside Medical LLC
• Habeeb Ali Lakhani, M.D.
• Lakou Medical Consulting LLC
• Karim Lalani, APRN
• Daniela Lalinde, DDS

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.