Organization Name: | COMMUNITY SLEEP DISORDERS CENTERS OF AMERICA, INC. |
NPI Number: | 1104156868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN C. WILLIAMS (CEO) |
Mailing Address: | 2224 Highway 44 W Inverness |
State: | FL US |
Postal Code: | 344533860 |
Phone Number: | 3526375599 |
Fax Number: | 3526375567 |
NPI Enumeration Date: | 12/31/2009 |
NPI Last Update Date: | 12/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | 4740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |