Organization
SOUTH FLORIDA DIAGNOSTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY NIERENBERG (PRESIDENT)
(954) 442-9726
Entity
Organization
Contact information
Practice address
20020 VETERANS BLVD, SUITE 20, PORT CHARLOTTE, FL 33954-2114
(941) 623-0460
(941) 613-0461
Mailing address
15211 LAUREL LN S, PEMBROKE PINES, FL 33027-1330
(954) 442-9726
(954) 442-6817
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC6245
FL
Other
Enumeration date
11/02/2005
Last updated
08/22/2020
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