Provider Demographics
NPI:1245078856
Name:LAKAY IPHANITA KLINIK, PLLC
Entity type:Organization
Organization Name:LAKAY IPHANITA KLINIK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:EVINS
Authorized Official - Last Name:REMY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:239-231-9024
Mailing Address - Street 1:5040 SALERNO ST
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9578
Mailing Address - Country:US
Mailing Address - Phone:239-231-9024
Mailing Address - Fax:833-672-3155
Practice Address - Street 1:1250 TAMIAMI TRL N STE 104
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5267
Practice Address - Country:US
Practice Address - Phone:239-231-9024
Practice Address - Fax:833-672-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care