Provider Demographics
NPI:1093740235
Name:AMERICAN INSTITUTE FOR SLEEP PERFORMANCE, INC.
Entity Type:Organization
Organization Name:AMERICAN INSTITUTE FOR SLEEP PERFORMANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-442-8694
Mailing Address - Street 1:2241 N UNIVERSITY DR STE A
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3609
Mailing Address - Country:US
Mailing Address - Phone:954-442-8694
Mailing Address - Fax:954-442-8695
Practice Address - Street 1:6175 NW 153RD ST STE 324
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2443
Practice Address - Country:US
Practice Address - Phone:305-824-3244
Practice Address - Fax:305-824-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1465Medicare UPIN