| NPI | 1720266257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN LOUIS COOK Administrator 904-486-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: FL HCC7830) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2012-05-30 |