Provider Demographics
NPI:1326066226
Name:SLEEPFIRST LLC
Entity Type:Organization
Organization Name:SLEEPFIRST LLC
Other - Org Name:TALLAHASSEE SLEEP DIAGNOSTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-878-7271
Mailing Address - Street 1:1605 E PLAZA DR STE 103
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5327
Mailing Address - Country:US
Mailing Address - Phone:850-878-7271
Mailing Address - Fax:850-878-1509
Practice Address - Street 1:1605 E PLAZA DR STE 103
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5327
Practice Address - Country:US
Practice Address - Phone:850-878-7271
Practice Address - Fax:850-878-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74713207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34288OtherBCBS PROVIDER
FL=========OtherVISTA HEALTHPLAN