Organization Name: | DREAMZ SLEEP DISORDERS CENTER |
NPI Number: | 1043523947 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE MATHEY (COORDINATOR) |
Mailing Address: | 950 Tamiami Trl Suite 103 Port Charlotte |
State: | FL US |
Postal Code: | 339533100 |
Phone Number: | 9412767818 |
Fax Number: | 9414260105 |
NPI Enumeration Date: | 07/20/2010 |
NPI Last Update Date: | 07/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |