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NPI Code Detail

MEDICARE: BREATHING DISORDER CENTERS LLC

MEDICARE: BREATHING DISORDER CENTERS LLC
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
2261QM1300XMulti-Specialty Clinic/CenterME94972FL

General Provider Information

NPI Number : 1669616439
Entity Type Code : Organization
Provider Name (Legal Business Name) : BREATHING DISORDER CENTERS LLC
Provider Business Mailing Address
First Line : 4849 LAKE WORTH RD
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3455
Country : US
Telephone Number : 561-433-4446
Fax Number : 561-296-7310
Provider Business Practice Location Address
First Line : 4849 LAKE WORTH RD
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3455
Country : US
Telephone Number : 561-433-4446
Fax Number : 561-296-7310
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEAN-CLAUDE LABISSIERE
Credential : M.D
Telephone Number : 201-315-8708
Provider Enumeration Date : 04/23/2009
Last Update Date : 04/23/2009

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Directions to “BREATHING DISORDER CENTERS LLC ” Practice Location

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