Lakeside Clinic, LLC
NPI 1992162879 · Methadone Clinic · Clearwater, FL
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Clinic, LLC is a Methadone Clinic organization in Clearwater, FL (NPI 1992162879).
Provider details
- NPI number
- 1992162879
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Jarvie, Vp, Treasurer(214) 379-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Medmark Treatment Centers Clearwater
Registry dates
- Enumerated
- 2016-01-22
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Frequently asked questions
- What is Lakeside Clinic, LLC's NPI number?
- Lakeside Clinic, LLC's National Provider Identifier (NPI) is 1992162879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Clinic, LLC?
- Lakeside Clinic, LLC is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Lakeside Clinic, LLC located?
- Lakeside Clinic, LLC's practice location on file with NPPES is 13700 58th St N, Clearwater, FL 33760-3757.
- What is Lakeside Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Clinic, LLC is (727) 223-3545.
- Does Lakeside Clinic, LLC accept Medicare?
- Lakeside Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Clinic, LLC?
- The authorized official listed on Lakeside Clinic, LLC's NPPES record is Bruce Jarvie, Vp, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Clinic, LLC's NPI active?
- Yes — Lakeside Clinic, LLC's NPI (1992162879) is active in the NPPES registry as of the last update on 2024-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.