PEDIM OUTREACH AND SPECIALTY CLINIC LLC

LECANTO, FL
NPI1851848097
Doing Business AsMD SLEEP CARE
Doing Business AsMHST
Doing Business AsMD HOME SERVICE
Entity TypeOrganization
Authorized ContactDACELIN ST MARTIN
Medical Director
352-563-0931
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies261QS1200X Clinic/Center, Sleep Disorder Diagnostic
207QS1201X Family Medicine, Sleep Medicine
207RS0012X Internal Medicine, Sleep Medicine
Enumeration Date2016-09-06
Last Update Date2023-04-24
Business Address
PEDIM OUTREACH AND SPECIALTY CLINIC LLC
1982 N PROSPECT AVE
LECANTO, FL 34461
Phone number: 352-563-0931
Mailing Address
PEDIM OUTREACH AND SPECIALTY CLINIC LLC
PO BOX 2066
LECANTO, FL 34460-2066
Phone number: 352-563-0931