| Emerald Coast Sleep Disorders Center | |
|
4566 E Highway 20 Suite 108 Niceville FL 32578-8838 | |
| (850) 729-3930 | |
| (850) 729-3933 |
| Full Name | Emerald Coast Sleep Disorders Center |
|---|---|
| Speciality | Clinic/center - Sleep Disorder Diagnostic |
| Location | 4566 E Highway 20, Niceville, Florida |
| Authorized Official Name and Position | Joseph Rose (VP OF FINANCE & ADMINISTRATION) |
| Authorized Official Contact | 9785367400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Sleep Disorders Center 200 Corporate Pl Suite 5b Peabody MA 01960-3840 Ph: (978) 536-7400 | Emerald Coast Sleep Disorders Center 4566 E Highway 20 Suite 108 Niceville FL 32578-8838 Ph: (850) 729-3930 |
| NPI Number | 1477587145 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477587145 | NPI | - | NPPES |
| 94735 | Other | FL | BLUE CROSS BLUE SHIELD |
| V00E7 | Other | FL | BCBS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Primary |
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