Provider Demographics
NPI:1184323305
Name:CIRCADIOS FL PA
Entity type:Organization
Organization Name:CIRCADIOS FL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-351-0609
Mailing Address - Street 1:802 E WHITING ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4136
Mailing Address - Country:US
Mailing Address - Phone:786-351-0609
Mailing Address - Fax:
Practice Address - Street 1:802 E WHITING ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4136
Practice Address - Country:US
Practice Address - Phone:786-351-0609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty