Provider Demographics
NPI:1851349781
Name:HCD SLEEP DISORDERS CENTER, INC
Entity Type:Organization
Organization Name:HCD SLEEP DISORDERS CENTER, INC
Other - Org Name:THE LAKELAND SLEEP INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:VANDERPOOL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:863-647-1101
Mailing Address - Street 1:PO BOX 950
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-0950
Mailing Address - Country:US
Mailing Address - Phone:863-647-1101
Mailing Address - Fax:863-295-7882
Practice Address - Street 1:5151 S LAKELAND DR
Practice Address - Street 2:SUITE #13 & 14
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2518
Practice Address - Country:US
Practice Address - Phone:863-647-1101
Practice Address - Fax:863-295-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5558261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1281Medicare ID - Type Unspecified