| NPI | 1235748179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONY BOLLINGER President 813-591-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-03-08 |