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

Lakeside Edx LLC

Organization Radiology Clinic/Center · NPI 1730763244

Lakeside Edx LLC is a Radiology Clinic/Center in Miramar Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone: (800) 416-1767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X

Record details

NPI number1730763244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Winger — Member · (800) 416-1767
NPI enumeratedMay 11, 2021
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021
Mailing address495 Grand Blvd Ste 206, Miramar Beach, FL 32550-1897

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