Organization · NPI-2

Bsam Holdings INC

Clinic/Center, Sleep Disorder Diagnostic · Port St Lucie, FL

NPI number1346401270
StatusActive
Last updated in NPPESApr 20, 2009

Details

NPI
1346401270
Entity type
Organization (NPI-2)
Legal business name
Bsam Holdings INC
Organization subpart
No
Enumeration date
Jun 23, 2008
Last updated
Apr 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Sleep Disorder Solutions Port St Lucie (Doing Business As)

Practice location

525 Nw Lake Whitney Pl
Bldg P - Ste 103
Port St Lucie, FL 34986-1605

Phone 772-323-2660 · Fax 772-323-2666

Mailing address

525 Nw Lake Whitney Pl
Bldg P - Ste 103
Port St Lucie, FL 34986-1605

Phone 772-323-2660 · Fax 772-323-2666

Authorized official

Nicole Mahabir-Herrera
Mgrm
7723232660

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