Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lakeside Medical and Aesthetic Centre Lc

Organization Family Medicine Physician · NPI 1801069224

Lakeside Medical and Aesthetic Centre Lc provides Family Medicine Physician services in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2

Practice location Address checks out

600 N Hiatus Rd Ste 203
Pembroke Pines, FL 33026-5207 Not confirmed with CMS for 11 years — call before visiting
Phone: (954) 392-7157
Fax: (954) 443-4941
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS7420 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME70790 (FL)

Record details

NPI number1801069224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lydia Fuxa — Adminstrator · (954) 392-7157
NPI enumeratedApril 7, 2008
Last updated in NPPESSeptember 28, 2015
Mailing address600 N Hiatus Rd, Suite 203, Pembroke Pines, FL 33026-5207

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