Polk Sleep Disorders LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

POLK SLEEP DISORDERS LLC

Practice address

35 Lake Elbert Dr.
Winter Haven, FL 33880-3058

Phone

(863) 299-0302

Fax

(863) 299-0370

NPI assigned

May 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry Daniels

Title

Owner

Phone

(863) 299-0302

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1023064011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7272",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338837272",
            "telephone_number": "863-299-0302",
            "fax_number": "863-299-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LAKE ELBERT DR.",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803058",
            "telephone_number": "863-299-0302",
            "fax_number": "863-299-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK SLEEP DISORDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-299-0302",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00389765",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FL",
            "identifier": "V3161",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Podiatry Center PA
• Poinciana Medical Center, Inc.
• Jodie Poling, CSFA
• Polk County Adult Health Care PA
• Polk for Recovery, Inc.
• Polk Therapy
• Polk Therapy LLC
• Jackie Polk, LPN
• Joanna Maritza Pollarolo
• Carlos Antonio Polo Montes, DDS, MS

• Physiological Laboratory in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.