LAKE MEDICAL CENTER PLLC
NPI 1699198903
Nurse Practitioner - Family in Belle Glade, FL

Q: What is Lake Medical Center PLLC's NPI number?

The NPI number for Lake Medical Center PLLC is 1699198903. It was assigned to this organization in the NPPES registry on January 23, 2014.

Q: What is Lake Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 23, 2014CLIA 10D2006348 · Waiver

425 SE 2ND ST, BELLE GLADE, FL 33430(561) 992-0508(561) 992-0510 Get Directions Write a Review

NPPES record last updated: April 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Medical Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE MEDICAL CENTER PLLC (NPI 1699198903) is a healthcare organization registered as a family in Belle Glade, Florida and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Susan Mcmillan, Nurse Practioneer, as its authorized official.

NPPES Registry Identity

NPI1699198903

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameLAKE MEDICAL CENTER PLLC

Location Address425 SE 2ND STBelle Glade, FL 33430-3511

Mailing Address425 Se 2nd StBelle Glade, FL 33430-3511 · (561) 992-0508 · Fax (561) 992-0510

Phone(561) 992-0508

Fax(561) 992-0510

Organization SubpartNo

Authorized OfficialSusan McmillanNurse Practioneer · (561) 992-0508

Enumeration DateJanuary 23, 2014

Last NPPES UpdateApril 13, 2014

✔ NPI 1699198903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP1951902

425 SE 2ND ST, Belle Glade, FL 33430

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Other Identifiers 1

Medicare PINHS692AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2006348

Lake Medical Center PLLC · Belle Glade, FL

Active · expires Apr 18, 2028

CLIA Number10D2006348

Laboratory TypePractitioner Other

Certificate Effective DateApril 19, 2026

Certificate Expiration DateApril 18, 2028

Laboratory DirectorSusan S. Mcmillan

Laboratory Phone(561) 992-0508

Laboratory LocationLake Medical Center PLLC425 SE 2nd St, Belle Glade, FL 33430

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Medical Center PLLC's NPI number?

The NPI number for Lake Medical Center PLLC is 1699198903. It was assigned to this organization in the NPPES registry on January 23, 2014.

Where is Lake Medical Center PLLC located?

Lake Medical Center PLLC is located at 425 SE 2nd St, Belle Glade, FL 33430. The listed phone number is (561) 992-0508.

What is Lake Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Lake Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2006348) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Medical Center PLLC was last updated on April 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.