1871568543 NPI number — SLEEP CARE CENTERS OF AMERICA INC

Table of content: (NPI 1871568543)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871568543 NPI number — SLEEP CARE CENTERS OF AMERICA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP CARE CENTERS OF AMERICA INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE FLORIDA CENTERS OF SLEEP MEDICINE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871568543
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1679 EAGLE HARBOR PARKWAY
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
ORANGE PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32003-4816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-215-7556
Provider Business Mailing Address Fax Number:
904-215-7557

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1679 EAGLE HARBOR PARKWAY
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
ORANGE PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32003-4816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-215-7556
Provider Business Practice Location Address Fax Number:
904-215-7557
Provider Enumeration Date:
02/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ASPINWALL
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
904-215-7556

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X , with the licence number:  HCC5590 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QS1200X , with the licence number: HCC5593 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QS1200X , with the licence number: HCC5591 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QS1200X , with the licence number: HCC8326 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QS1200X , with the licence number: HCC5592 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)