Organization Active NPI

Florida Sleep & Neuro Diagnostic Services Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Plantation, FL
National Provider Identifier
1295035335
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Mar 12, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
115810600MedicaidFL

Other names 1

  • FSNDS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120615000280 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6709040124 Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.