Community Sleep Disorders Centers of America, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

4738 Issued in FL

Legal business name

COMMUNITY SLEEP DISORDERS CENTERS OF AMERICA, INC

Practice address

920 Rolling Acres Rd
Suite 1
Lady Lake, FL 32159-5028

Phone

(352) 751-2498

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Williams

Title

Ceo

Phone

(352) 751-2498

Specialties & licenses 3

Addresses

Other names 1

• COMMUNITY SLEP DISORDERS CENTERS OF AMERICA, INC. Former legal business name

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1346324944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161533",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327161533",
            "telephone_number": "352-751-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ROLLING ACRES RD",
            "address_2": "SUITE 1",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595028",
            "telephone_number": "352-751-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SLEEP DISORDERS CENTERS OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-751-2498",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": "4739",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": "4740",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": "4738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY SLEP DISORDERS CENTERS OF AMERICA, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Lady Lake, FL
• Providers in Lady Lake, 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 Jul 23, 2012; 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.