Provider Demographics
NPI:1033132055
Name:FINAO CORPORATION
Entity Type:Organization
Organization Name:FINAO CORPORATION
Other - Org Name:WAUCHULA SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF SALES AND MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEAPALDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-960-6100
Mailing Address - Street 1:13083 TELECOM PARKWAY NORTH
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637
Mailing Address - Country:US
Mailing Address - Phone:813-960-6100
Mailing Address - Fax:813-960-6144
Practice Address - Street 1:119 WEST BAY STREET
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-3135
Practice Address - Country:US
Practice Address - Phone:813-960-6100
Practice Address - Fax:813-860-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7358261QS1200X
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU0776Medicare PIN