Provider Demographics
NPI:1164822359
Name:ORLANDO SLEEP SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ORLANDO SLEEP SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARALDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-242-7663
Mailing Address - Street 1:2921 N. ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804
Mailing Address - Country:US
Mailing Address - Phone:321-242-7663
Mailing Address - Fax:407-894-7202
Practice Address - Street 1:2921 N. ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804
Practice Address - Country:US
Practice Address - Phone:321-242-7663
Practice Address - Fax:407-894-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment