# NEUROSCIENCE AND SLEEP DISORDERS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477809424
- **Authorized official:** DR. MICHAEL K MARAIST MD (OWNER)
- **Authorized official phone:** (772) 777-2680

## Contact information

- **Practice address:** 1405 SE GOLDTREE DR, SUITE B, PORT ST LUCIE, FL 34952-7563
- **Practice address phone:** (772) 777-2680
- **Practice address fax:** (772) 777-2684
- **Mailing address:** PO BOX 2315, PALM CITY, FL 34991-7315
- **Mailing address phone:** (772) 777-2680
- **Mailing address fax:** (772) 777-2684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2012
- **Last updated:** 12/01/2012