Provider Demographics
NPI:1710275045
Name:PHYHEALTH SLEEP CARE CORPORATION
Entity Type:Organization
Organization Name:PHYHEALTH SLEEP CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRINKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-779-1760
Mailing Address - Street 1:700 S. ROYAL POINCIANA BLVD.
Mailing Address - Street 2:SUITE 506
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6667
Mailing Address - Country:US
Mailing Address - Phone:305-779-1752
Mailing Address - Fax:305-779-1778
Practice Address - Street 1:1300 SUNSET LN
Practice Address - Street 2:SUITE 3230
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3398
Practice Address - Country:US
Practice Address - Phone:540-825-7135
Practice Address - Fax:540-825-7137
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYHEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-20
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA261QS1200X
VAPHY500261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic