<Unavail>
LBN: Lakeside Clinic, Llc
<Unavail> is an health care organization with primary practice located at 13700 58Th St N Building 2, Suite 201, Clearwater FL 33760-3757. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Lakeside Clinic, Llc can be contacted via phone (727) 223-3545, or through Jarvie, Bruce via phone (214) 379-3300.
Contact Information
Primary practice address
13700 58Th St N Building 2, Suite 201
Clearwater FL 33760-3757
Phone: (727) 223-3545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1992162879 |
|---|---|
| LBN Legal business name | Lakeside Clinic, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Jarvie, Bruce |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2016 |
| Last updated | Jul 29th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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