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Organization
PHYSICIAN SLEEP SERVICES
Active
Organization
PHYSICIAN SLEEP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GREMILLION (CEO)
(985) 773-2851
Entity
Organization
Contact information
Practice address
12027 WHITMARSH LN, TAMPA, FL 33626-1737
(877) 333-2575
(813) 902-6509
Mailing address
2895 HIGHWAY 190, SUITE 223, MANDEVILLE, LA 70471-3414
(985) 727-0780
(985) 727-0783
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
FL
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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