FLAGLER DIAGNOSTIC & SLEEPING DISORDER, INC, INC


Address: 4721 E. Moody Blvd Suite 104, Bunnell, FL 32110
Phone: 3865866229

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1200X Clinic/Center
Specialization: Sleep Disorder Diagnostic
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL FL BLUE SHEILD V3019 01
FL RAILROAD MEDICARE P00307040 01
FL 018211800 05

Other Provider IDs and Locations

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

Office Location

Street Address 4721 E. MOODY BLVD SUITE 104
City BUNNELL
State FL
Zip Code 32110

Providers in the same zip code

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 Information

Taxonomy Code 261QS1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Sleep Disorder Diagnostic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City BUNNELL
Zip Code 32110

Improve Information

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Dataset Information

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.

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