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

Miami Lakes Medical Center Associates PA

Organization Family Medicine Physician · NPI 1174518096

Miami Lakes Medical Center Associates PA is a Family Medicine Physician in Hialeah, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7150 W 20th Ave Ste 315
Hialeah, FL 33016-5529
Phone: (305) 821-6600
Fax: (305) 821-0773
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174518096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Koby — Vice President · (305) 821-6600
Other names Pembroke Lakes Medical Center
NPI enumeratedSeptember 16, 2005
Last updated in NPPESAugust 22, 2020
Mailing address7150 W 20th Ave, Suite 315, Hialeah, FL 33016-5529

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