| Organization Name: | LAKES AMBULATORY SURGICAL CENTER |
| NPI Number: | 1033497375 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTY GONZALEZ (OWNER/MANAGER) |
| Mailing Address: | 15600 Nw 67th Ave Ste 105 Miami Lakes |
| State: | FL US |
| Postal Code: | 330142175 |
| Phone Number: | 3055568353 |
| Fax Number: | 3058272415 |
| NPI Enumeration Date: | 08/03/2011 |
| NPI Last Update Date: | 08/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |