Organization Name: | CARDIOHEALTH SLEEP CENTER OF NORTH TAMPA LLC |
NPI Number: | 1194816850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS VAN SANT (VP OF OPERATIONS) |
Mailing Address: | 13089 N Telecom Pkwy Temple Terrace |
State: | FL US |
Postal Code: | 336370926 |
Phone Number: | 8139775337 |
Fax Number: | 8139770747 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 10/19/2007 |
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: |