Provider Demographics
NPI:1225113384
Name:APNEA MANAGEMENT CENTERS LLC
Entity Type:Organization
Organization Name:APNEA MANAGEMENT CENTERS LLC
Other - Org Name:APNEA MANAGEMENT SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, RPSGT
Authorized Official - Phone:239-334-1337
Mailing Address - Street 1:6350 TECHSTER BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-4705
Mailing Address - Country:US
Mailing Address - Phone:239-334-1337
Mailing Address - Fax:239-210-0048
Practice Address - Street 1:6350 TECHSTER BLVD STE 2
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-4705
Practice Address - Country:US
Practice Address - Phone:239-334-1337
Practice Address - Fax:239-210-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313238332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5971180001Medicare NSC