Provider Demographics
NPI:1053649368
Name:LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.
Entity Type:Organization
Organization Name:LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZIK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ARNP-BC
Authorized Official - Phone:727-532-7644
Mailing Address - Street 1:9580 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-6947
Mailing Address - Country:US
Mailing Address - Phone:407-656-8848
Mailing Address - Fax:407-656-6901
Practice Address - Street 1:9580 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-6947
Practice Address - Country:US
Practice Address - Phone:407-656-8848
Practice Address - Fax:407-656-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care