Provider Demographics
NPI:1477587145
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 OF FINANCE & ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-536-7400
Mailing Address - Street 1:200 CORPORATE PL
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3840
Mailing Address - Country:US
Mailing Address - Phone:978-536-7400
Mailing Address - Fax:978-535-9757
Practice Address - Street 1:4566 E HIGHWAY 20
Practice Address - Street 2:SUITE 108
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-8838
Practice Address - Country:US
Practice Address - Phone:850-729-3930
Practice Address - Fax:850-729-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2016-05-20
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
FL94735OtherBLUE CROSS BLUE SHIELD
FLV00E7OtherBCBS OF FLORIDA
FL50348YMedicare PIN
FL17403AMedicare PIN
FLV00E7OtherBCBS OF FLORIDA
FLHX461BMedicare PIN