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NPI Code Detail

MEDICARE: CIRCADIOS FL PA

MEDICARE: CIRCADIOS FL PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center
2207RS0012XSleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1184323305
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIRCADIOS FL PA
Provider Business Mailing Address
First Line : 802 E WHITING ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-4136
Country : US
Telephone Number : 786-351-0609
Fax Number :
Provider Business Practice Location Address
First Line : 802 E WHITING ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-4136
Country : US
Telephone Number : 786-351-0609
Fax Number :
Authorized Official
Title or Position : CEO
Name : MIGUEL MASEDA
Credential :
Telephone Number : 786-351-0609
Provider Enumeration Date : 02/27/2023
Last Update Date : 02/27/2023

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Directions to “CIRCADIOS FL PA ” Practice Location

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