Provider Demographics
NPI:1871663278
Name:MIAMI SLEEP DISORDERS CENTER
Entity Type:Organization
Organization Name:MIAMI SLEEP DISORDERS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEDIAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-666-2224
Mailing Address - Street 1:7029 SW 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3420
Mailing Address - Country:US
Mailing Address - Phone:305-666-2224
Mailing Address - Fax:305-666-2297
Practice Address - Street 1:7029 SW 61ST AVE
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3420
Practice Address - Country:US
Practice Address - Phone:305-666-2224
Practice Address - Fax:305-666-2297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2014-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL51163207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL04838AOtherBLUE CROSS BLUE SHEILD
FLK6215Medicare ID - Type UnspecifiedMEDICARE