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

Med Lake Center LLC

Organization General Practice Physician · NPI 1518340124

Med Lake Center LLC is a General Practice Physician in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
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

16371 NW 67th Ave
Miami Lakes, FL 33014-6044
Phone: (786) 332-4991
Fax: (786) 409-2037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence HCC11818 (FL)

Record details

NPI number1518340124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mayra Zeno — Medical Director · (786) 332-4991
Other names G & I Medical Research
NPI enumeratedJune 30, 2015
Last updated in NPPESOctober 13, 2015
Mailing address16371 Nw 67th Ave, Miami Lakes, FL 33014-6044

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