Organization
SLEEP TESTING OF TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GRUNDSET DDS (MEMBER)
(727) 851-6870
Entity
Organization
Contact information
Practice address
9899 66TH ST N, PINELLAS PARK, FL 33782-3010
(727) 575-7900
Mailing address
9899 66TH ST N, PINELLAS PARK, FL 33782-3010
(727) 575-7900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 4596
FL
Other
Enumeration date
09/30/2014
Last updated
11/23/2014
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