Organization
EZ SLEEP DIAGNOSTIC CENTER CORP
Active
Other names
Crossroads Center of Broward
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA WEISS LCSW (COO)
(305) 303-1274
Entity
Organization
Contact information
Practice address
10011 PINES BLVD STE 201, PEMBROKE PINES, FL 33024-6167
(305) 303-1274
Mailing address
10011 PINES BLVD STE 201, PEMBROKE PINES, FL 33024-6167
(305) 303-1274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/02/2010
Last updated
08/07/2011
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