Organization
GAINESVILLE SLEEP LAB, LLC
Active
Parent organization
GAINESVILLE SLEEP LAB, LLC
Other names
Sleep Specialist Sleep Lab, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GAINESVILLE SLEEP LAB, LLC
Authorized official
MS. FRAN E EVANS RRT,RST,RPSGT (OWNER / ADMINISTRATIVE DIRECTOR)
(352) 671-9924
Entity
Organization
Contact information
Practice address
1834 SW 1ST AVE, SUITE 301, OCALA, FL 34471-8100
(352) 671-9924
(352) 671-9925
Mailing address
1834 SW 1ST AVE, SUITE 301, OCALA, FL 34471-8100
(352) 671-9924
(352) 671-9925
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC9175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE ID-TYPE UNSPECIFIED
FL
Enumeration date
01/03/2014
Last updated
01/03/2014
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