Organization
SLEEP EZ FAMILY AND SLEEP HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY C LU (CREDENTIALING MANAGER)
(904) 221-2535
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 2009, JACKSONVILLE, FL 32258-5223
(833) 417-5337
(904) 930-4222
Mailing address
13241 BARTRAM PARK BLVD UNIT 2009, JACKSONVILLE, FL 32258-5223
(833) 417-5337
(904) 930-4222
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JK300A
MEDICARE
FL
Enumeration date
04/17/2017
Last updated
02/26/2019
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