Organization
SLEEP DIAGNOSTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAJEEV P. VETTICHIRA MD (MANAGER)
(813) 988-8920
Entity
Organization
Contact information
Practice address
6957 E FOWLER AVE, TAMPA, FL 33617-1714
(813) 988-8920
Mailing address
6957 E FOWLER AVE, TAMPA, FL 33617-1714
(813) 988-8920
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME71430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5709
CERTIFICATE OF EXEMPTION
FL
Enumeration date
07/26/2006
Last updated
08/22/2020
About Stedi
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