PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA (NPI# 1922306109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922306109 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA |
| Other Organization Name | SLEEP CLINIC OF AMERICA |
| Practice Address |
1980 North Prospect Avenue Lecanto FL 34461 |
| Mailing Address |
Po Box 2066 Lecanto FL 34460-2066 |
| Practice Telephone | 3525276673 |
| Practice Fax Number | 3525279314 |
| Mailing Telephone | (352) 527-6673 |
| Mailing Fax Number | 3525279314 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | DR. DACELIN ST. MARTIN (OWNER) |
| Authorized Official Telephone | 3525276673 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sleep Clinic of America | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437575693 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2014-03-12 |
| Street Address |
1980 NORTH PROSPECT AVENUE |
| City | LECANTO |
| State | FL |
| Zip Code | 34461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| 1174608293 | Gary S Padgett | Dentist | 514 N. Lecanto Hwy, Lecanto, FL 34461 | 2006-10-26 |
| Find all providers in zip 34461 | ||||
| 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.