Organization Active NPI

Lakes Healthcare & Wellness

  • Ambulatory Women's Health Care Registered Nurse
  • Miami Lakes, FL
National Provider Identifier
1982572053
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
Legal business name
LAKES HEALTHCARE & WELLNESS
Practice address
8205 Commerce Way Ste 125
Miami Lakes, FL 33016-1668
Phone
(786) 261-9628
Fax
(305) 827-5545
NPI assigned
Oct 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Ms. Samantha Bouza, CEO
Title
Ceo
Phone
(786) 261-9628

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0101X Primary
Medical Toxicology (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083T0002X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

8205 Commerce Way Ste 125
Miami Lakes, FL 33016-1668

Mailing address

8205 Commerce Way Ste 125
Miami Lakes, FL 33016-1668
Phone (786) 261-9628

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2336635Lakes Healthcare & Wellness LLC8205 Commerce Way Suite 125, Miami Lakes, FL 33016Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Locations

8205 Commerce Way
Ste 125
Miami Lakes, FL 33016
Phone (786) 261-9628

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1982572053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 COMMERCE WAY STE 125",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161668",
            "telephone_number": "786-261-9628",
            "fax_number": "305-827-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 COMMERCE WAY STE 125",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161668",
            "telephone_number": "786-261-9628",
            "fax_number": "305-827-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES HEALTHCARE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "BOUZA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-261-9628",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.