| NPI | 1841475043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDALYN MICHELLE WOMBLE President 386-752-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: FL HCC7963) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2012-07-26 |