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LAKESIDE MED LLC
NPI 1740096049
Internal Medicine in Pembroke Pines, FL

Active since December 10, 2024
600 N HIATUS RD STE 203, PEMBROKE PINES, FL 33026(954) 392-7157(954) 443-4941 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lakeside Med Llc NPPES

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

LAKESIDE MED LLC (NPI 1740096049) is a healthcare organization registered as an internal medicine in Pembroke Pines, Florida and active in the NPI registry since December 2024. The organization lists Armando Antenor De Feria, President, as its authorized official.

NPPES Registry Identity

NPI1740096049
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKESIDE MED LLC
Location Address600 N HIATUS RD STE 203Pembroke Pines, FL 33026-5207
Mailing Address600 N Hiatus Rd Ste 203Pembroke Pines, FL 33026-5207 · (954) 392-7157 · Fax (954) 443-4941
Phone(954) 392-7157
Fax(954) 443-4941
Organization SubpartNo
Authorized OfficialArmando Antenor De FeriaPresident · (954) 392-7157
Enumeration DateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
✔ NPI 1740096049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
600 N HIATUS RD STE 203, Pembroke Pines, FL 33026
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeside Med Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Med LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Armando De Feria, M.D.
Internal Medicine
NPI 1639179807
600 N HIATUS RD SUITE 203
Pembroke Pines, FL 33026
(954) 392-7157
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Med LLC's NPI number?

The NPI number for Lakeside Med LLC is 1740096049. It was assigned to this organization in the NPPES registry on December 10, 2024.

Where is Lakeside Med LLC located?

Lakeside Med LLC is located at 600 N Hiatus Rd Ste 203, Pembroke Pines, FL 33026. The listed phone number is (954) 392-7157.

What is Lakeside Med LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lakeside Med LLC enrolled in Medicare?

Yes. Lakeside Med LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Med LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lakeside Med LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeside Med LLC was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.