| NPI | 1710305099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN ZACHARY President 904-281-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |