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General NPI Number Information
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NPI Number | 1295035335
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Entity Type | Organization
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Legal Business Name | FLORIDA SLEEP & NEURO DIAGNOSTIC SERVICES INC
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1755 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3601
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Country | US
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Telephone | 305-370-3100
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Fax | 305-817-8974
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Provider Business Mailing Address
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Address Line | 1755 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3601
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Country | US
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Telephone | 305-370-3100
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Fax | 305-817-8974
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Authorized Official
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Title or Position | CFO
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Name | DANIEL ANTONIO OTAYEK
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Credential |
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Telephone | 305-370-3100
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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 |
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License Number State |
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