Sdr Clinic And Sleep Disorder Institute LLC
Clinic/Center, Multi-Specialty in Coral Gables, FL. Organization (NPI-2).
NPI number1699725846
StatusActive
Last updated in NPPESMay 18, 2009
Details
- NPI
- 1699725846
- Entity type
- Organization (NPI-2)
- Legal business name
- Sdr Clinic And Sleep Disorder Institute LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2006
- Last updated
- May 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | HCC4821 | FL | Yes |
Other names
- Sdr Sleep & Diagnostics LLC (Doing Business As)
Practice location
836 Ponce De Leon Blvd.Suite 202
Coral Gables, FL 33144-3039
Phone 305-263-6820 · Fax 305-263-6821
Mailing address
836 Ponce De Leon BlvdSuite 202
Coral Gables, FL 33134-3039
Phone 305-263-6820 · Fax 305-263-6821
Authorized official
Marco A. Ramirez
Managing Member
3052636820
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