Provider Demographics
NPI:1043994981
Name:DEEP SLEEP CENTER LLC
Entity Type:Organization
Organization Name:DEEP SLEEP CENTER LLC
Other - Org Name:DEEP SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORRESTER CADETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-391-6500
Mailing Address - Street 1:7126 BERACASA WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3448
Mailing Address - Country:US
Mailing Address - Phone:561-391-6500
Mailing Address - Fax:
Practice Address - Street 1:7126 BERACASA WAY STE 2
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3448
Practice Address - Country:US
Practice Address - Phone:561-391-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty