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General NPI Number Information
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NPI Number | 1346324944
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Entity Type | Organization
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Legal Business Name | COMMUNITY SLEEP DISORDERS CENTERS OF AMERICA, INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 920 ROLLING ACRES RD SUITE 1
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City | LADY LAKE
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State | FL
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Zip | 32159-5028
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Country | US
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Telephone | 352-751-2498
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161533
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-1533
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Country | US
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Telephone | 352-751-2498
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KEVIN WILLIAMS
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Credential |
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Telephone | 352-751-2498
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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 | 4739
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 4740
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 4738
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License Number State | FL
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