Organization
ORLANDO SLEEP DISORDERS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY JOHN DECKER M.D. (PRESIDENT)
(407) 898-5201
Entity
Organization
Contact information
Practice address
942 LAKE BALDWIN LN, ORLANDO, FL 32814-6651
(407) 898-5201
(407) 898-5233
Mailing address
942 LAKE BALDWIN LN, ORLANDO, FL 32814-6651
(407) 898-5201
(407) 898-5233
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK4550
RAILROAD MEDICARE PTAN
FL
Enumeration date
12/02/2005
Last updated
01/26/2010
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