Active NPI
Lakes Healthcare & Wellness
- Ambulatory Women's Health Care Registered Nurse
- Miami Lakes, FL
National Provider Identifier
1982572053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | Primary | ||
| Medical Toxicology (Preventive Medicine) Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2336635 | Lakes Healthcare & Wellness LLC | Certificate of waiver | Jan 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.