| Organization Name: | LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC. |
| NPI Number: | 1053649368 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARLENE GUZIK (VP OF OPERATIONS) |
| Mailing Address: | 9580 W Colonial Dr Ocoee |
| State: | FL US |
| Postal Code: | 347616947 |
| Phone Number: | 4076568848 |
| Fax Number: | 4076566901 |
| NPI Enumeration Date: | 11/24/2009 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |