OrganizationActive
Lakeside Occupational Medical Centers, Inc.
NPI 1194763557 · Occupational Medicine Clinic/Center · Tampa, FL
Provider details
- NPI number
- 1194763557
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Driver, Vp of Operations(727) 532-7647
Specialties & taxonomies
Ambulatory Health Care Facilities
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5406 Hoover Blvd
Tampa, FL 33634-5330
Phone: (813) 248-8149
Fax: (813) 884-7085
Street-level locationGet directions
Mailing address
5406 Hoover Blvd
Tampa, FL 33634-5330
Other names (DBA / former)
- Other name
- (former Occupant at This Address Was Medero Medical-Tampa West)
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2009-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.