LAKESIDE EDX LLC
NPI 1730763244
Clinic/Center - Radiology in Miramar Beach, FL

Active since May 11, 2021
495 GRAND BLVD STE 206, MIRAMAR BEACH, FL 32550(800) 416-1767 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Edx Llc NPPES

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

LAKESIDE EDX LLC (NPI 1730763244) is a healthcare organization registered as a radiology in Miramar Beach, Florida and active in the NPI registry since May 2021. The organization lists Thomas Winger, Member, as its authorized official.

NPPES Registry Identity

NPI1730763244
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameLAKESIDE EDX LLC
Location Address495 GRAND BLVD STE 206Miramar Beach, FL 32550-1897
Mailing Address495 Grand Blvd Ste 206Miramar Beach, FL 32550-1897 · (800) 416-1767
Organization SubpartNo
Authorized OfficialThomas WingerMember · (800) 416-1767
Enumeration DateMay 11, 2021
NPPES CertifiedMay 11, 2021
NPI 1730763244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
495 GRAND BLVD STE 206, Miramar Beach, FL 32550

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
495 GRAND BLVD STE 206
MIRAMAR BEACH, FL 32550
Behavior Technician
495 GRAND BLVD STE 206
MIRAMAR BEACH, FL 32550
Behavior Technician
495 GRAND BLVD STE 206
MIRAMAR BEACH, FL 32550
Behavior Analyst
495 GRAND BLVD STE 206
MIRAMAR BEACH, FL 32550
Behavior Technician
495 GRAND BLVD STE 206
MIRAMAR BEACH, FL 32550
Behavior Technician
495 GRAND BLVD STE 206
MIRAMAR BEACH, FL 32550
Behavior Analyst
495 GRAND BLVD STE 206
MIRAMAR BEACH, FL 32550
Behavior Analyst
495 GRAND BLVD STE 206
MIRAMAR BEACH, FL 32550

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 Lakeside Edx LLC's NPI number?

The NPI number for Lakeside Edx LLC is 1730763244. It was assigned to this organization in the NPPES registry on May 11, 2021.

Where is Lakeside Edx LLC located?

Lakeside Edx LLC is located at 495 Grand Blvd Ste 206, Miramar Beach, FL 32550. The listed phone number is (800) 416-1767.

What is Lakeside Edx LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Lakeside Edx LLC was last updated on May 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.