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

Miami Lakes Medical Center Associates PA

Organization Family Medicine Physician · NPI 1174518096

Miami Lakes Medical Center Associates PA provides Family Medicine Physician services in Hialeah, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7150 W 20th Ave Ste 315
Hialeah, FL 33016-5529
Phone: (305) 821-6600
Fax: (305) 821-0773
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174518096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Koby — Vice President · (305) 821-6600
Other names Pembroke Lakes Medical Center
NPI enumeratedSeptember 16, 2005
Last updated in NPPESAugust 22, 2020
Mailing address7150 W 20th Ave, Suite 315, Hialeah, FL 33016-5529

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