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

Miami Lakes Medical Center, LLC

Organization Medical Physician Assistant · NPI 1740687821

Miami Lakes Medical Center, LLC is a Medical Physician Assistant in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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

15536 NW 77th Ct
Miami Lakes, FL 33016-5804
Phone: (305) 621-8051
Fax: (305) 621-8053
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9106732 (FL)

Record details

NPI number1740687821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eduardo Elizalde — Md · (305) 621-8051
NPI enumeratedDecember 4, 2014
Last updated in NPPESJune 3, 2025
Certification dateAugust 27, 2024
Mailing address15536 Nw 77th Ct, Miami Lakes, FL 33016-5804

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