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

Miami Lakes Medical Center, LLC

Organization Medical Physician Assistant · NPI 1740687821

Miami Lakes Medical Center, LLC provides Medical Physician Assistant services in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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

15536 NW 77th Ct
Miami Lakes, FL 33016-5804
Phone: (305) 621-8051
Fax: (305) 621-8053
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9106732 (FL)

Record details

NPI number1740687821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eduardo Elizalde — Md · (305) 621-8051
NPI enumeratedDecember 4, 2014
Last updated in NPPESJune 3, 2025
Certification dateAugust 27, 2024
Mailing address15536 Nw 77th Ct, Miami Lakes, FL 33016-5804

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