Provider Demographics
NPI:1740429877
Name:DORAL CENTER FOR SLEEP DISORDER LLC
Entity Type:Organization
Organization Name:DORAL CENTER FOR SLEEP DISORDER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DORA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINIMELIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-331-8033
Mailing Address - Street 1:10454 NW 31ST TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1200
Mailing Address - Country:US
Mailing Address - Phone:786-331-8033
Mailing Address - Fax:786-999-8349
Practice Address - Street 1:10454 NW 31ST TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1200
Practice Address - Country:US
Practice Address - Phone:786-331-8033
Practice Address - Fax:786-999-8349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic