Organization
SLEEP TESTING CENTER OF WESLEY CHAPEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GREMILLION (CEO)
(985) 727-0782
Entity
Organization
Contact information
Practice address
26851 TANIC DR, SUITE 102, WESLEY CHAPEL, FL 33544-4605
(813) 907-4700
(813) 907-7421
Mailing address
2895 HIGHWAY 190, SUITE 223, MANDEVILLE, LA 70471-3414
(985) 727-0782
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC9283
ZZ
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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