| NPI | 1831315407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P. SHOUVLIN Director 904-421-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: FL hcc6490) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-10-13 |