Healthcare Provider Details
I. General information
NPI: 1740559673
Provider Name (Legal Business Name): EMERY SLEEP SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/21/2011
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2151 SEMORAN BLVD
APOPKA FL
32703-5710
US
IV. Provider business mailing address
2151 SEMORAN BLVD
APOPKA FL
32703-5710
US
V. Phone/Fax
- Phone: 407-628-9100
- Fax: 407-628-0748
- Phone: 407-628-9100
- Fax: 407-628-0748
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | HCC6695 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
DONALD
ROY
EMERY
Title or Position: OWNER
Credential: RRT
Phone: 407-765-6542