Organization
SLEEP MEDICINE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUBERT M (MIKE) ZACHARY PHD, LMHC (PRESIDENT)
(904) 281-1066
Entity
Organization
Contact information
Practice address
310 S PALM AVE, SUITE 6, PALATKA, FL 32177-4179
(386) 325-9797
(386) 325-9798
Mailing address
9838 OLD BAYMEADOWS RD, BOX 386, JACKSONVILLE, FL 32256-8101
(904) 281-1066
(904) 281-1060
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
FL
2472E0500X
EEG Technician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
6698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2254
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/08/2007
Last updated
10/08/2013
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