South Florida Diagnostic Associates

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

HCC6245 Issued in FL

Legal business name

SOUTH FLORIDA DIAGNOSTIC ASSOCIATES

Practice address

20020 Veterans Blvd
Suite 20
Port Charlotte, FL 33954-2114

Phone

(941) 623-0460

Fax

(941) 613-0461

NPI assigned

Nov 2, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry Nierenberg

Title

President

Phone

(954) 442-9726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346231016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 LAUREL LN S",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271330",
            "telephone_number": "954-442-9726",
            "fax_number": "954-442-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20020 VETERANS BLVD",
            "address_2": "SUITE 20",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542114",
            "telephone_number": "941-623-0460",
            "fax_number": "941-613-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA DIAGNOSTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIERENBERG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-442-9726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": "HCC6245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel A Sosa
• Edgardo Soto de la Rosa, M.D.
• Soul Care Solution LLC
• Soul Dental PLLC
• John Harvey Sours, D.C.
• Southwest Florida Regional Imaging II LLC
• Southwest Florida Spine Institute PLLC
• Southwest Physical Therapy & Rehabilitation Inc
• Southwest Psychotherapy and Counseling Center Inc
• Sovi Joseph MD PA

• Sleep Disorder Diagnostic Clinic/Center in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.