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Lakeside Tlf, LLC — NPI 1134722820, Wauchula, FL | NPI Central

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NPI 1134722820

OrganizationActive

Lakeside Tlf, LLC

NPI 1134722820 · Rehabilitation Hospital · Wauchula, FL

Provider details

NPI number: 1134722820
Entity type: Organization
Primary specialty: Rehabilitation HospitalHospitals
Organization subpart: No
Authorized official: Maneesh Bansal, Coo(800) 697-5390

Specialties & taxonomies

Rehabilitation HospitalPrimary283X00000X
Hospitals
Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000X
Residential Treatment Facilities
Physical Disabilities Residential Treatment Facility320700000X
Residential Treatment Facilities
Emotionally Disturbed Childrens' Residential Treatment Facility322D00000X
Residential Treatment Facilities

Practice location

1962 Vandolah Rd

Wauchula, FL 33873-8726

Phone: (800) 697-5390

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

10866 Washington Blvd Ste 42

Culver City, CA 90232-3610

Other names (DBA / former)

Doing business as: Lakeside Neurologic

Additional practice locations (1)

1044 S Florida Ave
Wauchula, FL 33873-3412
Phone: (863) 773-2857

Registry dates

Enumerated: 2020-11-17
Last updated: 2020-11-17
Certified: 2020-11-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.