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Organization
ORLANDO SLEEP DISORDERS CENTER PA
Active
Organization
ORLANDO SLEEP DISORDERS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY JOHN DECKER M.D. (PRESIDENT)
(407) 898-5201
Entity
Organization
Contact information
Practice address
942 LAKE BALDWIN LN, ORLANDO, FL 32814-6651
(407) 898-5201
(407) 898-5233
Mailing address
942 LAKE BALDWIN LN, ORLANDO, FL 32814-6651
(407) 898-5201
(407) 898-5233
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK4550
RAILROAD MEDICARE PTAN
FL
Enumeration date
12/02/2005
Last updated
01/26/2010
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