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

Lakes Interventional Radiology Corp

Organization Vascular & Interventional Radiology Physician · NPI 1790053981

Lakes Interventional Radiology Corp is a Vascular & Interventional Radiology Physician in North Miami Beach, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1380 NE Miami Gardens Dr Ste 240
North Miami Beach, FL 33179-4750
Phone: (305) 907-6191
Fax: (305) 907-6192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence OSR807 (FL)

Record details

NPI number1790053981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moises Roizental — President · (305) 907-6191
NPI enumeratedDecember 2, 2011
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address16855 Ne 2nd Ave Ste 305, North Miami Beach, FL 33162-1744

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