Organization
LEISURE SOLUTIONS, INC.
Active
Other names
Advanced Sleep Diagnostics Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACQUES RAPHAEL (PRESIDENT)
(352) 751-0235
Entity
Organization
Contact information
Practice address
13940 N US HIGHWAY 441, SUITE 905, LADY LAKE, FL 32159-8908
(352) 751-0235
(352) 751-6777
Mailing address
13940 N US HIGHWAY 441, SUITE 905, LADY LAKE, FL 32159-8908
(352) 751-0235
(352) 751-6777
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
HCC5021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05641
UNITED HEALTH CARE
FL
01
—
06541
UNIVERSAL HEALTHCARE
FL
01
—
2230264
FIRST HEALTH
FL
01
—
278869
HEALTHEASE
FL
01
—
3679125
AETNA HMO
FL
01
—
7936611
AETNA PPO
FL
01
—
F01321
FREEDOM HEALTH
FL
01
—
V2891
BCBS
FL
Enumeration date
05/19/2006
Last updated
04/20/2008
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