MEDICARE: OLYMPUS RESEARCH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207QS1201X	Sleep Medicine (Family Medicine) Physician
2	2084N0400X	Neurology Physician
3	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
4	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1609576958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLYMPUS RESEARCH LLC

Provider Business Mailing Address
First Line	:	11285 SW 211TH ST STE 207
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2213
Country	:	US
Telephone Number	:	786-217-8510
Fax Number	:

Provider Business Practice Location Address
First Line	:	11285 SW 211TH ST STE 201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33189-2213
Country	:	US
Telephone Number	:	786-217-8510
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CARLOS NUNEZ
Credential	:
Telephone Number	:	786-217-8510

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/05/2024

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Directions to “OLYMPUS RESEARCH LLC ” Practice Location

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