Provider Demographics
NPI:1982847323
Name:DOCTORSCHOICE SLEEP - FT MYERS INC
Entity Type:Organization
Organization Name:DOCTORSCHOICE SLEEP - FT MYERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
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:954-633-3580
Mailing Address - Fax:954-633-3584
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:954-633-3580
Practice Address - Fax:954-633-3584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL800001932291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory