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NPI Code Detail

MEDICARE: NORTH FLORIDA SLEEP SOLUTIONS INC

MEDICARE: NORTH FLORIDA SLEEP SOLUTIONS INC
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

General Provider Information

NPI Number : 1215242359
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH FLORIDA SLEEP SOLUTIONS INC
Provider Business Mailing Address
First Line : 13453 N MAIN ST
Second Line : STE 304
City : JACKSONVILLE
State : FL
Zip : 32218-2710
Country : US
Telephone Number : 904-374-5226
Fax Number : 904-374-3137
Provider Business Practice Location Address
First Line : 13453 N MAIN ST
Second Line : STE 304
City : JACKSONVILLE
State : FL
Zip : 32218-2710
Country : US
Telephone Number : 904-374-5226
Fax Number : 904-374-3137
Authorized Official
Title or Position : PRESIDENT
Name : MR. DEREK JEROD NEAL SR.
Credential : MBA
Telephone Number : 904-347-5226
Provider Enumeration Date : 08/12/2010
Last Update Date : 08/12/2010

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Directions to “NORTH FLORIDA SLEEP SOLUTIONS INC ” Practice Location

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