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PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS PA NPI 1922306109


NPI Information

NPI: 1922306109
Provider Name: PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA

Doing Business As: SLEEP CLINIC OF AMERICA

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 10D2077639

Address:
1980 NORTH PROSPECT AVENUE
LECANTO, FL
ZIP 34461
Phone: (352) 527-6673
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PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA is a sleep disorder diagnostic clinic center in Lecanto, FL. PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA NPI is 1922306109. The provider is registered as an organization entity type.
The provider Is Doing Business As Sleep Clinic Of America.

The provider's business location address is:

1980 NORTH PROSPECT AVENUE
LECANTO, FL
ZIP 34461
Phone: (352) 527-6673
Fax: (352) 527-9314

The provider's authorized official is Dacelin St. Martin .
The authorized official title is Owner and has the following contact phone number (352) 527-6673.

The CLIA number assigned to this NPI record is 10D2077639 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2011 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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