Provider Demographics
NPI:1437395761
Name:FINAO LLC
Entity Type:Organization
Organization Name:FINAO LLC
Other - Org Name:HEALTHSLEEP OF JACKSONVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF PLANNING AND DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAN SANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-960-6100
Mailing Address - Street 1:13083 N TELECOM PKWY
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0926
Mailing Address - Country:US
Mailing Address - Phone:813-960-6100
Mailing Address - Fax:813-960-6144
Practice Address - Street 1:7685 103RD ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-6341
Practice Address - Country:US
Practice Address - Phone:904-493-9300
Practice Address - Fax:904-493-9301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FINAO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8238261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic