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JEC PHYSICIAN SERVICES LLC NPI 1760911051


NPI Information

NPI: 1760911051
Provider Name: JEC PHYSICIAN SERVICES, LLC

Doing Business As: COMPREHENSIVE SLEEP CARE OF SWFL

Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

CLIA Number: 10D2163726

Address:
5272 SUMMERLIN COMMONS WAY STE 603
FORT MYERS, FL
ZIP 33907
Phone: (239) 444-8969
Get Directions

JEC PHYSICIAN SERVICES, LLC is a sleep medicine internal medicine in Fort Myers, FL. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. JEC PHYSICIAN SERVICES, LLC NPI is 1760911051. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Comprehensive Sleep Care Of Swfl.

The provider's business location address is:

5272 SUMMERLIN COMMONS WAY STE 603
FORT MYERS, FL
ZIP 33907-156
Phone: (239) 444-8969
Fax: (239) 466-2035

The provider's authorized official is Julio E Conrado .
The authorized official title is President and has the following contact phone number (239) 444-8969.

The CLIA number assigned to this NPI record is 10D2163726 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 7/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseME70286FLORIDANo
2207RS0012XInternal MedicineSleep MedicineME70286FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131742OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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