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

Lakeside Clinic, LLC

Organization Community/Behavioral Health Agency · NPI 1992162879

Lakeside Clinic, LLC is a Community/Behavioral Health Agency in Clearwater, Florida. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13700 58th St N Bldg 2 Ste 201
Clearwater, FL 33760-3757
Phone: (727) 223-3545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Community/Behavioral Health Agency Taxonomy 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1992162879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Jarvie — Vp, Treasurer · (214) 379-3300
Other names Medmark Treatment Centers Clearwater
NPI enumeratedJanuary 22, 2016
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address1720 Lakepointe Dr Ste 117, Lewisville, TX 75057-6425

Other providers in Clearwater