Provider Demographics
NPI:1043627664
Name:SLEEP ENTERPRISES LLC
Entity Type:Organization
Organization Name:SLEEP ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:FAIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FATTEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-536-9948
Mailing Address - Street 1:601 HERITAGE DR STE 103A
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2777
Mailing Address - Country:US
Mailing Address - Phone:561-249-4050
Mailing Address - Fax:855-808-6810
Practice Address - Street 1:601 HERITAGE DR STE 103A
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2777
Practice Address - Country:US
Practice Address - Phone:561-249-4050
Practice Address - Fax:855-808-6810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0070598174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG21615Medicare UPIN