Provider Demographics
NPI:1871568543
Name:SLEEP CARE CENTERS OF AMERICA INC
Entity type:Organization
Organization Name:SLEEP CARE CENTERS OF AMERICA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ASPINWALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-215-7556
Mailing Address - Street 1:1679 EAGLE HARBOR PARKWAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32003-4816
Mailing Address - Country:US
Mailing Address - Phone:904-215-7556
Mailing Address - Fax:904-215-7557
Practice Address - Street 1:1679 EAGLE HARBOR PARKWAY
Practice Address - Street 2:SUITE A
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32003-4816
Practice Address - Country:US
Practice Address - Phone:904-215-7556
Practice Address - Fax:904-215-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5590261QS1200X
FLHCC5593261QS1200X
FLHCC5591261QS1200X
FLHCC8326261QS1200X
FLHCC5592261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE2015Medicare PIN