Provider Demographics
NPI:1881830172
Name:DCSS - MCNAB, LLC
Entity Type:Organization
Organization Name:DCSS - MCNAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:GARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-633-3539
Mailing Address - Street 1:2030 W MCNAB RD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1002
Mailing Address - Country:US
Mailing Address - Phone:800-938-0075
Mailing Address - Fax:954-633-3637
Practice Address - Street 1:2030 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1002
Practice Address - Country:US
Practice Address - Phone:800-938-0075
Practice Address - Fax:954-633-3637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic