Provider Demographics
NPI:1477040129
Name:SLEEPMASTER SOLUTIONS
Entity Type:Organization
Organization Name:SLEEPMASTER SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-867-4543
Mailing Address - Street 1:2901 W BUSCH BLVD STE 701
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4569
Mailing Address - Country:US
Mailing Address - Phone:844-412-0792
Mailing Address - Fax:844-446-6288
Practice Address - Street 1:2901 W BUSCH BLVD STE 701
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4569
Practice Address - Country:US
Practice Address - Phone:844-412-0792
Practice Address - Fax:844-446-6288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty