Provider Demographics
NPI:1871708420
Name:SLEEP CENTER OF SOUTH FLORIDA INC.
Entity type:Organization
Organization Name:SLEEP CENTER OF SOUTH FLORIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:DUTHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-466-5778
Mailing Address - Street 1:1801 S 23RD ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4830
Mailing Address - Country:US
Mailing Address - Phone:772-466-5778
Mailing Address - Fax:772-466-5780
Practice Address - Street 1:1801 S 23RD ST
Practice Address - Street 2:SUITE 10
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4830
Practice Address - Country:US
Practice Address - Phone:772-466-5778
Practice Address - Fax:772-466-5780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty