Active NPI
Florida Sleep & Neuro Diagnostic Services Inc
- Sleep Disorder Diagnostic Clinic/Center
- Plantation, FL
National Provider Identifier
1295035335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- FLORIDA SLEEP & NEURO DIAGNOSTIC SERVICES INC
- Practice address
- 4330 W Broward Blvd Ste D
Plantation, FL 33317-3753 - Phone
- (305) 370-3100
- Fax
- (305) 817-8974
- NPI assigned
- Oct 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Antonio Otayek
- Title
- Coo
- Phone
- (305) 370-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
4330 W Broward Blvd Ste D
Plantation, FL 33317-3753
Mailing address
4330 W Broward Blvd Ste D
Plantation, FL 33317-3753
Phone (305) 370-3100
Other practice location 1
1755 N University Dr
Pembroke Pines, FL 33024-3601
Phone (305) 370-3100 ext. 3102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115810600 | Medicaid | FL |
Other names 1
- FSNDS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120615000280 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6709040124 | Practice locations: Miami Lakes, FL |
National Provider Directory
National Provider DirectoryLocations
1755 N University Dr
Pembroke Pines, FL 33024
Phone 3053703100 ext. 3102
4330 W Broward Blvd
Ste D
Plantation, FL 33317
Phone (305) 370-3100
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1295035335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 W BROWARD BLVD STE D",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173753",
"telephone_number": "305-370-3100",
"fax_number": "305-817-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 W BROWARD BLVD STE D",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173753",
"telephone_number": "305-370-3100",
"fax_number": "305-817-8974"
}
],
"practiceLocations": [
{
"address_1": "1755 N University Dr",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330243601",
"country_code": "US",
"telephone_number": "305-370-3100 x3102",
"fax_number": "305-817-8974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FLORIDA SLEEP & NEURO DIAGNOSTIC SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-22",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "OTAYEK",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "305-370-3100"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115810600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FSNDS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FSNDS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.