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Organization

PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC

Active
Parent organization
PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
Other names
SLEEP CLINIC OF AMERICA, Sleep Clinic of America, SCOFA SLEEPCARE, Pediatric and Internal Medicine Specialists
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
Authorized official
DACELIN ST MARTIN (PHYSICIAN OWNER)
(352) 527-6888
Entity
Organization

Contact information

Practice address
1980 NORTH PROSPECT AVENUE, LECANTO, FL 34461
(352) 527-6673
(352) 527-9314
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 527-6673
(352) 527-9314

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
03/11/2011
Last updated
05/06/2026
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