Lakeside Occupational Medical Centers, Inc.

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.

Practice address

2303 Airport Rd
Plant City, FL 33563-1127

Phone

(813) 752-1195

Fax

(813) 754-4478

NPI assigned

Jun 28, 2007

Last updated

Jul 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra L. Driver, R.N.

Title

Vice President of Operations

Phone

(727) 532-7647

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1871790303",
    "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": "2303 AIRPORT RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631127",
            "telephone_number": "813-752-1195",
            "fax_number": "813-754-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "727-532-7647",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kripas, RN
• Kylie Jeanae Kropp
• Meena Kukreja
• Teofil B Kulyk, MD
• Lakeland Regional Health Systems, Inc
• Guadalupe Lamas, ARNP
• Lamoutte & Verdeja MDS P a (Women First Center)
• Carlos Lamoutte, M.D.
• Adrianna Lane, APRN
• Kenia Mabel Laucer

• Occupational Medicine Clinic/Center in Plant City, FL
• Providers in Plant City, FL by specialty
• Occupational Medicine Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.