Organization
TREASURE COAST SLEEP DISORDERS , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MAMANGAKIS (PRESIDENT)
(772) 232-9990
Entity
Organization
Contact information
Practice address
188 NW CENTRAL PARK PLZ, PORT ST LUCIE, FL 34986-2451
(772) 232-9990
Mailing address
PO BOX 187, JENSEN BEACH, FL 34958-0187
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
06/07/2017
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