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Organization
FLAGLER DIAGNOSTIC AND SLEEPING DISORDER, INC.
Active
Organization
FLAGLER DIAGNOSTIC AND SLEEPING DISORDER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY LYNN ROCHES CFE, BS, AA (FACILITY DIRECTOR OFFICE MANAGER)
(386) 586-6229
Entity
Organization
Contact information
Practice address
1001 W. CYPRESS CREEK RD, SUITE 104, FT. LAUDERDALE, FL 33309
(954) 306-3760
(877) 537-8123
Mailing address
4721 E. MOODY BLVD, SUITE 104, BUNNELL, FL 32110
(386) 586-6229
(386) 263-2975
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC8433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018211800
—
FL
01
—
V0073
BCBS OF FL
FL
Enumeration date
02/06/2009
Last updated
03/22/2017
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