Organization
SLEEP MANAGEMENT CENTERS LLC
Active
Organization
SLEEP MANAGEMENT CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CLARK MSW, RPSGT (PRESIDENT)
(239) 334-8144
Entity
Organization
Contact information
Practice address
6350 TECHSTER BLVD STE 2, FORT MYERS, FL 33966-4705
(239) 334-8144
(239) 210-0048
Mailing address
6350 TECHSTER BLVD STE 2, FORT MYERS, FL 33966-4705
(239) 334-8144
(239) 210-0048
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
09/17/2006
Last updated
06/02/2011
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