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

Lakeside Med LLC

Organization Family Medicine Physician · NPI 1740096049

Lakeside Med LLC is a Family Medicine Physician in Pembroke Pines, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

600 N Hiatus Rd Ste 203
Pembroke Pines, FL 33026-5207
Phone: (954) 392-7157
Fax: (954) 443-4941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1740096049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Armando De Feria — President · (954) 392-7157
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address600 N Hiatus Rd Ste 203, Pembroke Pines, FL 33026-5207

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