Provider Demographics
NPI:1073897062
Name:BLISS SLEEP & RESPIRATORY CARE, INC.
Entity Type:Organization
Organization Name:BLISS SLEEP & RESPIRATORY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMSIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-672-8101
Mailing Address - Street 1:1400 HAND AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-8194
Mailing Address - Country:US
Mailing Address - Phone:386-672-8101
Mailing Address - Fax:386-672-8102
Practice Address - Street 1:1400 HAND AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8194
Practice Address - Country:US
Practice Address - Phone:386-672-8101
Practice Address - Fax:386-672-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-08
Last Update Date:2011-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies