Flagler Diagnostic & Sleeping Disorder, INC, INC
Clinic/Center, Sleep Disorder Diagnostic in Bunnell, FL. Organization (NPI-2).
NPI number1013000652
StatusActive
Last updated in NPPESMar 22, 2017
Details
- NPI
- 1013000652
- Entity type
- Organization (NPI-2)
- Legal business name
- Flagler Diagnostic & Sleeping Disorder, INC, INC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Mar 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
Practice location
4721 E. Moody Blvd Suite 104Bunnell, FL 32110
Phone 386-586-6229 · Fax 386-263-2975
Mailing address
4721 E. Moody Blvd Suite 104Bunnell, FL 32110
Phone 386-586-6229 · Fax 386-263-2975
Authorized official
Kimberly L. Roches
Facility Director
3865866229
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.