MED LAKE CENTER LLC – NPI #1518340124
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

MED LAKE CENTER LLC is a provider located in MIAMI LAKES, FL. NPPES has assigned the NPI number 1518340124 to MED LAKE CENTER LLC on June 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is G & I MEDICAL RESEARCH. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 11 years ago on Oct 13, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MED LAKE CENTER LLC below.

NPI Profile for
MED LAKE CENTER LLC

NPI Number
1518340124
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MED LAKE CENTER LLC
Former Legal Business Name: G & I MEDICAL RESEARCH
Primary location
16371 NW 67TH AVE
MIAMI LAKES, FL 33014-6044
Phone: (786) 332-4991 Fax: (786) 409-2037
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MAYRA ZENO
MEDICAL DIRECTOR
Phone: (786) 332-4991
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 FL HCC11818

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.