Provider Demographics
NPI:1346429966
Name:MIAMI LAKES HEALTH CENTER INC.
Entity Type:Organization
Organization Name:MIAMI LAKES HEALTH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ULIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-214-6507
Mailing Address - Street 1:6447 MIAMI LAKES DR E
Mailing Address - Street 2:SUITE# 223
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2741
Mailing Address - Country:US
Mailing Address - Phone:954-214-6507
Mailing Address - Fax:
Practice Address - Street 1:6447 MIAMI LAKES DR E
Practice Address - Street 2:SUITE# 223
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2741
Practice Address - Country:US
Practice Address - Phone:954-214-6507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty