Lakewood Ccl, LLC
Lakewood Ccl, LLC is a Multi-Specialty Clinic/Center in Wildwood, Florida. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5571 E Sr 44 Ste 501Wildwood, FL 34785-8282
Phone: (352) 643-9070
Fax: (352) 571-6787
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1922575802 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jose Rivera — Administrator · (352) 643-9070 |
| NPI enumerated | October 29, 2018 |
| Last updated in NPPES | October 29, 2018 |
| Mailing address | 5571 E Sr 44 Ste 501, Wildwood, FL 34785-8282 |