| NPI | 1518906940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FRANCIS LICA President 954-854-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL HCC6903) |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6903) | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-09-24 |