| NPI | 1508069287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUBERT M (MIKE) ZACHARY President 904-281-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: FL 6698) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2013-10-08 |