Provider Demographics
NPI:1114706801
Name:DREAM SLEEP CENTER INC
Entity Type:Organization
Organization Name:DREAM SLEEP CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-890-2843
Mailing Address - Street 1:17081 STARFISH LN W
Mailing Address - Street 2:
Mailing Address - City:SUGARLOAF KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-3621
Mailing Address - Country:US
Mailing Address - Phone:321-890-2843
Mailing Address - Fax:
Practice Address - Street 1:29872 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:BIG PINE KEY
Practice Address - State:FL
Practice Address - Zip Code:33043-3313
Practice Address - Country:US
Practice Address - Phone:321-890-2843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty