LAKESIDE RTC LLC
NPI 1811804362
Residential Treatment Facility, Emotionally Disturbed Children in Wauchula, FL
About Lakeside Rtc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE RTC LLC (NPI 1811804362), doing business as Lakeside Neurologic, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Wauchula, Florida and active in the NPI registry since August 2026. The organization lists Elizabeth Choquette, Bom, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rtc LLC's NPI number?
The NPI number for Lakeside Rtc LLC is 1811804362. It was assigned to this organization in the NPPES registry on August 27, 2026. The provider is doing business as Lakeside Neurologic.
Where is Lakeside Rtc LLC located?
Lakeside Rtc LLC is located at 1962 Vandolah Rd, Wauchula, FL 33873. The listed phone number is (863) 773-2857.
What is Lakeside Rtc LLC's specialty?
The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
When was this NPI record last updated?
The NPPES record for Lakeside Rtc LLC was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Lakeside Rtc Llc · NPI 1811804362
Residential Treatment Facility, Emotionally Disturbed Children organization in Wauchula, Florida. Organization record, active in the CMS NPPES registry since August 27, 2026.
## Identity
- **NPI:** 1811804362 (Entity type: Organization)
- **Enumerated:** August 27, 2026
- **Primary specialty:** Residential Treatment Facility, Emotionally Disturbed Children · taxonomy 322D00000X
- **Also known as:** LAKESIDE NEUROLOGIC (Doing Business As)
- **Organization subpart:** Yes (part of Lakeside Opco Inc)
- **Authorized official:** Elizabeth Choquette, BOM
## Practice location
- **Address:** 1962 VANDOLAH RD, Wauchula, FL 33873-8726
- **Phone:** (863) 773-2857
## Record status
- **NPPES last updated:** August 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811804362) · Data from the CMS NPPES public registry.