Organization
COGNISLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DACELIN ST MARTIN MD (CEO)
(352) 794-3897
Entity
Organization
Contact information
Practice address
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 794-3897
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 794-3897
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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