Provider Demographics
NPI:1043523947
Name:DREAMZ SLEEP DISORDERS CENTER
Entity Type:Organization
Organization Name:DREAMZ SLEEP DISORDERS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT, CRT
Authorized Official - Phone:941-276-7818
Mailing Address - Street 1:950 TAMIAMI TRL
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33953-3100
Mailing Address - Country:US
Mailing Address - Phone:941-276-7818
Mailing Address - Fax:941-426-0105
Practice Address - Street 1:950 TAMIAMI TRL
Practice Address - Street 2:SUITE 103
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33953-3100
Practice Address - Country:US
Practice Address - Phone:941-276-7818
Practice Address - Fax:941-426-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic