Organization
BSAM HOLDINGS INC
Active
Other names
SLEEP DISORDER SOLUTIONS PORT ST LUCIE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MAHABIR-HERRERA (MGRM)
(772) 323-2660
Entity
Organization
Contact information
Practice address
525 NW LAKE WHITNEY PL, BLDG P - STE 103, PORT ST LUCIE, FL 34986-1605
(772) 323-2660
(772) 323-2666
Mailing address
525 NW LAKE WHITNEY PL, BLDG P - STE 103, PORT ST LUCIE, FL 34986-1605
(772) 323-2660
(772) 323-2666
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/23/2008
Last updated
04/20/2009
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