Healthcare Provider Details

I. General information

NPI: 1700875200
Provider Name (Legal Business Name): FLORIDA SLEEP INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 MARINER BLVD
SPRING HILL FL
34609-2467
US

IV. Provider business mailing address

4075 MARINER BLVD
SPRING HILL FL
34609-2467
US

V. Phone/Fax

Practice location:
  • Phone: 352-683-7885
  • Fax: 352-683-7877
Mailing address:
  • Phone: 352-683-7885
  • Fax: 352-683-7877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM C KOHLER
Title or Position: MEDICAL DIRECTOR
Credential: MD DABSM
Phone: 352-683-7885