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NPI Code Detail

MEDICARE: ATLANTIC SNORE AND SLEEP APNEA CENTER LLC

MEDICARE: ATLANTIC SNORE AND SLEEP APNEA CENTER 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
1332BC3200XCustomized Equipment (DME)10669FL

General Provider Information

NPI Number : 1992191548
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC SNORE AND SLEEP APNEA CENTER LLC
Provider Business Mailing Address
First Line : 1509 MASON AVE
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-4548
Country : US
Telephone Number : 386-239-7600
Fax Number : 866-262-0851
Provider Business Practice Location Address
First Line : 1509 MASON AVE
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-4548
Country : US
Telephone Number : 386-239-7600
Fax Number : 866-262-0851
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. RITA A DOLIN
Credential :
Telephone Number : 386-239-7600
Provider Enumeration Date : 04/10/2015
Last Update Date : 04/13/2015

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Directions to “ATLANTIC SNORE AND SLEEP APNEA CENTER LLC ” Practice Location

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