Organization
NEUROLOGY AND SLEEP CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ B IRFAN MD (OWNER)
(734) 353-9152
Entity
Organization
Contact information
Practice address
2900 17TH ST, STE 3, SAINT CLOUD, FL 34769-6098
(734) 353-9152
Mailing address
PO BOX 10, OCOEE, FL 34761-0010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME101409
FL LICENSE
FL
Enumeration date
06/17/2010
Last updated
02/01/2012
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