Provider Demographics
NPI:1932358637
Name:CHILDREN'S SLEEP CENTER
Entity Type:Organization
Organization Name:CHILDREN'S SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AJABSHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-218-8585
Mailing Address - Street 1:18142 SW 97TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5501
Mailing Address - Country:US
Mailing Address - Phone:305-971-7171
Mailing Address - Fax:305-971-7100
Practice Address - Street 1:18142 SW 97TH AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-5501
Practice Address - Country:US
Practice Address - Phone:305-971-7171
Practice Address - Fax:305-971-7100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLSTATE INVESTMENT GROUP,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7043291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory