SDR CLINIC AND SLEEP DISORDER INSTITUTE LLC


Address: 836 Ponce De Leon Blvd., Suite 202, Coral Gables, FL 33144-3039
Phone: 3052636820

SDR CLINIC AND SLEEP DISORDER INSTITUTE LLC (NPI# 1699725846) 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) 1699725846
Entity Type Organization
Organization Name SDR CLINIC AND SLEEP DISORDER INSTITUTE LLC
Other Organization Name SDR SLEEP & DIAGNOSTICS LLC
Practice Address 836 Ponce De Leon Blvd.
Suite 202
Coral Gables
FL 33144-3039
Mailing Address 836 Ponce De Leon Blvd
Suite 202
Coral Gables
FL 33134-3039
Practice Telephone 3052636820
Practice Fax Number 3052636821
Mailing Telephone 3052636820
Mailing Fax Number 3052636821
Enumeration Date 2006-05-10
Last Update Date 2009-05-18
Authorized Official Name MARCO A. RAMIREZ (MANAGING MEMBER)
Authorized Official Telephone 3052636820
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
HCC4821 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 265598500 05

Other Provider/Organization Names

Other Name Type Code
SDR Sleep & diagnostics LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598716961 Sdr Clinic and Sleep Disorder Institute LLC Clinic/Center 836 Ponce De Leon Blvd, Suite 202, Coral Gables, FL 33134-3039 2006-05-12

Office Location

Street Address 836 PONCE DE LEON BLVD.
SUITE 202
City CORAL GABLES
State FL
Zip Code 33144-3039

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City CORAL GABLES
Zip Code 33144

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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