Organization
FLAGLER DIAGNOSTIC AND SLEEPING DISORDER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY LYNN ROCHES CFE, BS, AA (FACILITY DIRECTOR OFFICE MANAGER)
(386) 586-6229
Entity
Organization
Contact information
Practice address
1001 W. CYPRESS CREEK RD, SUITE 104, FT. LAUDERDALE, FL 33309
(954) 306-3760
(877) 537-8123
Mailing address
4721 E. MOODY BLVD, SUITE 104, BUNNELL, FL 32110
(386) 586-6229
(386) 263-2975
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC8433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018211800
—
FL
01
—
V0073
BCBS OF FL
FL
Enumeration date
02/06/2009
Last updated
03/22/2017
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