Lakewood CCL, LLC

Key facts

NPI

1922575802

Entity type

Organization (NPI type 2)

Primary specialty

Multi-Specialty Clinic/Center 261QM1300X

Legal business name

LAKEWOOD CCL, LLC

Practice address

5571 E Sr 44 Ste 501
Wildwood, FL 34785-8282

Phone

(352) 643-9070

Fax

(352) 571-6787

NPI assigned

Oct 29, 2018

Organization subpart

No

Authorized official

Name

Mr. Jose A Rivera

Title

Administrator

Phone

(352) 643-9070

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafik Abadier, M.D. Cardiovascular Disease Physician · Inverness, FL · NPI 1649253147
  NPD
• Nitza I Alvarez Torres, M.D. Cardiovascular Disease Physician · Lady Lake, FL · NPI 1659491983
  NPD
• Srinivas Attanti, MD Interventional Cardiology Physician · The Villages, FL · NPI 1902889413
  NPD
• Georg Josef Couturier, MD Cardiovascular Disease Physician · The Villages, FL · NPI 1710952486
  NPD
• Hector L Garcia, M.D. Interventional Cardiology Physician · The Villages, FL · NPI 1114910031
  NPD
• Javier M Gonzalez, MD Cardiovascular Disease Physician · The Villages, FL · NPI 1689658809
  NPD
• Hari CP Kannam, MD Interventional Cardiology Physician · Inverness, FL · NPI 1952542375
  NPD
• Vinod R Miryala, MD Cardiovascular Disease Physician · The Villages, FL · NPI 1891996880
  NPD
• Nishant K. Nerella, MD Cardiovascular Disease Physician · Inverness, FL · NPI 1467659599
  NPD
• Suman Pasupuleti, M.D, Clinical Cardiac Electrophysiology Physician · Inverness, FL · NPI 1851503809
  NPD
• Abel Rivero, M.D. Interventional Cardiology Physician · The Villages, FL · NPI 1659531937
  NPD
• Brian Harris Saluck, DO Interventional Cardiology Physician · The Villages, FL · NPI 1295796902
  NPD
• Bernard Topi, M.D Interventional Cardiology Physician · Inverness, FL · NPI 1811175391
  NPD MULTI-SPECIALTY

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

National Provider Directory

Locations

Specialties & licenses

Addresses

Other providers in Wildwood, FL

• Stephanie Kitos, APRN FNP-BC
• Kuhn Chiropractic PA
• David C Kuhn, DC
• La Plus Family Investment
• Lakewood ASC, LLC
• Maria Jarosch Largent, M.S., CCC-A
• Tasha Lasane
• Jowatha Maner Lee
• Leonidas Vitality Health Clinic
• Levante Medical LLC

All providers in Wildwood, FL · Multi-Specialty Clinic/Center in Florida