Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Medical Group, LLC

Organization Clinic/Center · NPI 1437448354

Lake Medical Group, LLC is a Clinic/Center in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14750 NW 77th Ct Ste 304
Miami Lakes, FL 33016-1537
Phone: (305) 507-4400
Fax: (305) 826-2840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (FL)

Record details

NPI number1437448354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfonso Gonzalez — President/Owner · (305) 801-4030
NPI enumeratedMarch 31, 2011
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024
Mailing address14750 Nw 77th Ct Ste 304, Miami Lakes, FL 33016-1537

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