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Organization

SLEEP EASY GULF COAST SLEEP DIAGNOSTIC CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STUART H. BROWN (ADMINISTRATOR)
(850) 607-7293
Entity
Organization

Contact information

Practice address
2475 E NINE MILE RD, SUITE F, PENSACOLA, FL 32514-7795
(850) 607-7293
(850) 607-7321
Mailing address
PO BOX 6370, PENSACOLA, FL 32503-0370
(850) 607-7293
(850) 607-7321

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59195542
BCBS ALABAMA
AL
01
V3218
BCBS FLORIDA
FL
Enumeration date
08/22/2007
Last updated
03/12/2012
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