| NPI | 1134266794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY S PACKER Practice Manager 407-903-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME75691) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-02-21 |