Healthcare Provider Details

I. General information

NPI: 1871663278
Provider Name (Legal Business Name): MIAMI SLEEP DISORDERS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 01/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7029 SW 61ST AVE
SOUTH MIAMI FL
33143-3420
US

IV. Provider business mailing address

7029 SW 61ST AVE
SOUTH MIAMI FL
33143-3420
US

V. Phone/Fax

Practice location:
  • Phone: 305-666-2224
  • Fax: 305-666-2297
Mailing address:
  • Phone: 305-666-2224
  • Fax: 305-666-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number51163
License Number StateFL

VIII. Authorized Official

Name: DR. ALEJANDRO CHEDIAK
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 305-666-2224