Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Med Lake Center LLC

Organization General Practice Physician · NPI 1518340124

Med Lake Center LLC provides General Practice Physician services in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16371 NW 67th Ave
Miami Lakes, FL 33014-6044 Not confirmed with CMS for 10 years — call before visiting
Phone: (786) 332-4991
Fax: (786) 409-2037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence HCC11818 (FL)

Record details

NPI number1518340124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mayra Zeno — Medical Director · (786) 332-4991
Other names G & I Medical Research
NPI enumeratedJune 30, 2015
Last updated in NPPESOctober 13, 2015
Mailing address16371 Nw 67th Ave, Miami Lakes, FL 33014-6044

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