Healthcare Provider Details
I. General information
NPI: 1902207848
Provider Name (Legal Business Name): LARKIN SLEEP LAB CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2014
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4201 PALM AVE SUITE #2-E
HIALEAH FL
33012-4424
US
IV. Provider business mailing address
7701 SW 99TH AVE SUITE 106
MIAMI FL
33173-3146
US
V. Phone/Fax
- Phone: 305-596-9992
- Fax:
- Phone: 305-596-9992
- Fax: 305-596-0942
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROGELIO
CATTAN
Title or Position: PRESIDENT / DIRECTOR
Credential: M.D.
Phone: 305-596-9992