Provider Demographics
NPI:1477587111
Name:IN YOUR DREAMS INTERNATIONAL INC
Entity Type:Organization
Organization Name:IN YOUR DREAMS INTERNATIONAL INC
Other - Org Name:EMERALD COAST SLEEP DISORDERS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP COMPLIANCE & CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAUFUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-309-2000
Mailing Address - Street 1:99 ROSEWOOD DR STE 245
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-4537
Mailing Address - Country:US
Mailing Address - Phone:978-536-7400
Mailing Address - Fax:978-535-9757
Practice Address - Street 1:907 MAR WALT DR
Practice Address - Street 2:SUITE 2021
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547
Practice Address - Country:US
Practice Address - Phone:850-863-0006
Practice Address - Fax:850-863-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV00E8OtherBCBS OF FLORIDA
FL94735OtherBLUE CROSS BLUE SHIELD
FL50348YMedicare PIN
FL17403AMedicare PIN
FLK3475Medicare PIN
FLV00E8OtherBCBS OF FLORIDA