Organization
NAVARRE SLEEP DISORDER GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRA OPPENHEIM (OWNER)
(718) 648-4622
Entity
Organization
Contact information
Practice address
2053 FOUNTAIN PROFESSIONAL CT, SUITE B, NAVARRE, FL 32566-5105
(850) 936-4714
(850) 936-4713
Mailing address
1200 GRAVESEND NECK RD, APT 3L, BROOKLYN, NY 11229-4256
(850) 936-4714
(850) 936-4713
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3080
BC/BS OF FL
FL
Enumeration date
06/21/2006
Last updated
11/19/2009
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