Provider Demographics
NPI:1700038361
Name:SLEEPWELL, INC
Entity Type:Organization
Organization Name:SLEEPWELL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PD
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:813-841-5862
Mailing Address - Street 1:2508 W. SAINT ISABEL STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6380
Mailing Address - Country:US
Mailing Address - Phone:813-877-2255
Mailing Address - Fax:813-877-6109
Practice Address - Street 1:2508 W. SAINT ISABEL STREET
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6380
Practice Address - Country:US
Practice Address - Phone:813-877-2255
Practice Address - Fax:813-877-6109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty