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General NPI Number Information
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NPI Number | 1023158706
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Entity Type | Organization
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Legal Business Name | PULMONARY & SLEEP DISORDER CENTERS, INC.
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2855 N UNIVERSITY DR STE 200
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1403
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Country | US
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Telephone | 954-796-1118
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Fax | 954-796-1123
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Provider Business Mailing Address
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Address Line | 2855 N UNIVERSITY DR STE 200
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1403
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Country | US
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Telephone | 954-796-1118
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Fax | 954-796-1123
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Authorized Official
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Title or Position | CEO
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Name | WALTER EDWARD IGNASIAK
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Credential | RRT
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Telephone | 954-796-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | HCC5243
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License Number State | FL
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