| NPI | 1699216515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS IZURIETA Vicepresident 904-718-8018 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: FL HCC10359) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |