Provider Demographics
NPI:1043210651
Name:TOTAL SLEEP MANAGEMENT INC
Entity Type:Organization
Organization Name:TOTAL SLEEP MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:BSBA
Authorized Official - Phone:073-194-2314
Mailing Address - Street 1:PO BOX 1197
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:FL
Mailing Address - Zip Code:32702-1197
Mailing Address - Country:US
Mailing Address - Phone:407-454-4764
Mailing Address - Fax:866-601-6965
Practice Address - Street 1:1910 N ORANGE AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5552
Practice Address - Country:US
Practice Address - Phone:877-441-2411
Practice Address - Fax:800-559-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084S0012X, 261QS1200X
FL7275261QS1200X
FL6517261QS1200X
FL7818261QS1200X
FL8532261QS1200X
FL8353261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2374548OtherUNITED HEALTHCARE
7376570OtherAETNA
FL116854400Medicaid
FLV2746OtherBCBS
7376570OtherAETNA
FLV2746OtherBCBS
FLU1486DMedicare UPIN
FL2374548OtherUNITED HEALTHCARE
FLU1486Medicare UPIN
7376570OtherAETNA
FLV2746OtherBCBS
FLU1486CMedicare UPIN
FLU1486AMedicare UPIN
FLU1486AMedicare PIN