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Organization

THE GOOD SHEPHERD SLEEP CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HELMY GHALY (CEO)
(813) 727-3587
Entity
Organization

Contact information

Practice address
13668 W HILLSBOROUGH AVE, TAMPA, FL 33635
(727) 807-6969
(727) 400-3292
Mailing address
13668 W HILLSBOROUGH AVE, TAMPA, FL 33635
(727) 807-6969
(727) 400-3292

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
FL
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
V009D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/15/2012
Last updated
03/20/2019
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