| Organization Name: | FLAGLER DIAGNOSTIC & SLEEPING |
| NPI Number: | 1316186893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLEG CHEBERKO (PRESIDENT) |
| Mailing Address: | 645 Mayport Rd Suite 2 Atlantic Beach |
| State: | FL US |
| Postal Code: | 322333491 |
| Phone Number: | 9043720158 |
| Fax Number: | 8775378123 |
| NPI Enumeration Date: | 02/06/2009 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | HCC8433 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |