FLAGLER DIAGNOSTIC & SLEEPING DISORDER, INC, INC (NPI# 1013000652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013000652 |
Entity Type | Organization |
Organization Name | FLAGLER DIAGNOSTIC & SLEEPING DISORDER, INC, INC |
Practice Address |
4721 E. Moody Blvd Suite 104 Bunnell FL 32110 |
Practice Telephone | 3865866229 |
Practice Fax Number | 3862632975 |
Mailing Telephone | 3865866229 |
Mailing Fax Number | 3862632975 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2017-03-22 |
Authorized Official Name | MRS. KIMBERLY L. ROCHES (FACILITY DIRECTOR) |
Authorized Official Telephone | 3865866229 |
Authorized Official Credential | CFE |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FL BLUE SHEILD | V3019 | 01 |
FL | RAILROAD MEDICARE | P00307040 | 01 |
FL | 018211800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184188690 | Flagler Diagnostic & Sleeping Disorder, Inc, Inc | Clinic/Center | 1001 W Cypress Crk Rd Ste 104, Fort Lauderdale, FL 33309-1947 | 2019-01-29 |
Street Address |
4721 E. MOODY BLVD SUITE 104 |
City | BUNNELL |
State | FL |
Zip Code | 32110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669017349 | Ashley Jessica Harris | Nurse Practitioner | 2795 County Road 13, Bunnell, FL 32110 | 2019-11-17 |
1407321698 | Medical Risk Solutions | Family Medicine | 1769 E. Moody Blvd, Bunnell, FL 32110 | 2018-10-04 |
1518225408 | Christopher Manly Deck | Occupational Therapy Assistant | 5795 Chestnut Ave, Bunnell, FL 32110 | 2012-04-27 |
1588947337 | Flagler Mental Health Center, Pa | Community/Behavioral Health | 2729 E. Moody Blvd Ste 105, Bunnell, FL 32110 | 2011-09-27 |
1922273606 | Nancy Hutt Culver | Technician | 2384 County Rd 305, Bunnell, FL 32110 | 2008-04-24 |
1487772984 | Jennifer Lois Fraser | Dentist | 35 Caroline Street, Bunnell, FL 32110 | 2007-03-26 |
1750463154 | Jennifer L Thornton | Chiropractor | 4721 East Moody Blvd, Suite101, Bunnell, FL 32110 | 2006-10-19 |
1720175649 | Bunnell Medical Center Inc | Family Medicine | 700 E. Moody Blvd, Bunnell, FL 32110 | 2006-10-10 |
1245326990 | Patrick Gerald Reed | Chiropractor | 4601 East Highway 100, Suite G4, Bunnell, FL 32110 | 2006-10-04 |
1043230295 | Benigno Ramirez | Dentist | 507 East Moody Boulevard, Bunnell, FL 32110 | 2006-07-20 |
Find all providers in zip 32110 |
Taxonomy Code | 261QS1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Sleep Disorder Diagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386269348 | Florida Sleep Solutions of Jax Inc | Clinic/Center | 13453 N Main St Ste 201, Jacksonville, FL 32218-2773 | 2020-06-15 |
1366072183 | Satyamrith Inc | Clinic/Center | 40 Sw 12th St Ste C101, Ocala, FL 34471-6502 | 2020-01-21 |
1255988127 | Hymegi, Inc. | Clinic/Center | 11116 Sw 132nd Pl Apt 3, Miami, FL 33186-7955 | 2019-08-24 |
1386297513 | South Broward Hospital District | Clinic/Center | 7369 Sheridan St Ste 302b, Hollywood, FL 33024-2776 | 2019-07-17 |
1376100909 | United Sleep Diagnostics, Inc. | Clinic/Center | 2241 N University Dr Ste A, Pembroke Pines, FL 33024-3609 | 2019-05-20 |
1699274845 | United Health Systems, Inc. | Clinic/Center | 10059 Nw 1st Ct, Plantation, FL 33324-7006 | 2018-02-02 |
1760981088 | United Health Systems, Inc. | Clinic/Center | 50 Nw 15th St Ste 108, Homestead, FL 33030-4267 | 2018-02-02 |
1508365826 | United Health Systems, Inc. | Clinic/Center | 6274 Linton Blvd Ste 106, Delray Beach, FL 33484-6508 | 2018-02-02 |
1306370283 | Sleep Ez Family and Sleep Health LLC | Clinic/Center | 13241 Bartram Park Blvd Unit 2009, Jacksonville, FL 32258-5223 | 2017-04-17 |
1225561707 | Northwest Florida Sleep LLC | Clinic/Center | 310 Racetrack Rd Nw, Suite 200, Fort Walton Beach, FL 32547-1553 | 2017-04-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.