Provider Demographics
NPI:1780128769
Name:TALLAHASSEE SLEEP DIAGNOSTICS, INC
Entity type:Organization
Organization Name:TALLAHASSEE SLEEP DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:HUFFMASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-878-7271
Mailing Address - Street 1:1605 E PLAZA DR STE 103
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5327
Mailing Address - Country:US
Mailing Address - Phone:850-878-7271
Mailing Address - Fax:850-878-1509
Practice Address - Street 1:1605 E PLAZA DR STE 103
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5327
Practice Address - Country:US
Practice Address - Phone:850-878-7271
Practice Address - Fax:850-878-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225168291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory