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Organization
SLEEP DISORDER CENTER FT WALTON BEACH INC
Active
Organization
SLEEP DISORDER CENTER FT WALTON BEACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE A RODGERS RPSGT (LAB SUPERVISOR)
(850) 689-5496
Entity
Organization
Contact information
Practice address
151 MARY ESTHER BLVD STE 203, MARY ESTHER, FL 32569-1985
(850) 689-5496
(850) 689-5497
Mailing address
502 E PINE AVE STE A, CRESTVIEW, FL 32539-2818
(850) 689-5496
(850) 689-5497
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
09/04/2013
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