Polk Sleep Disorders Llc

NPI 1023064011 - Physiological Laboratory - 293D00000X

NPI Details
NPI 1023064011
Enumeration Date 05/25/2006
Last Updated 07/29/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JERRY JERRY
Position OWNER
Phone (863) 299-0302
Fax (863) 299-0370
Practice Location
35 LAKE ELBERT DR.
WINTER HAVEN FL, 33880-3058, US
Phone (863) 299-0302
Fax (863) 299-0370
Business Location
PO BOX 7272
WINTER HAVEN FL, 33883-7272, US
Phone (863) 299-0302
Fax (863) 299-0370
Toxanomy
Taxonomy Code 293D00000X
License State
License Number
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According to our database, Polk Sleep Disorders Llc NPI is 1023064011, taxonomy code is 293D00000X Polk Sleep Disorders Llc physically located at 35 Lake Elbert Dr., Winter Haven FL, 33880-3058. NPI Number 1033115704 has the healthcare provider type.

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1023064011 NPI number is provided on an as is basis without warranty of any kind. 1023064011 is maintained by the National Plan & Provider Enumeration System. The contents of Polk Sleep Disorders Llc are for informational purposes only.