Provider Demographics
NPI:1821795501
Name:GULF COAST SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:GULF COAST SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIOSTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-922-3774
Mailing Address - Street 1:3440 CONWAY BLVD STE 2A
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-7050
Mailing Address - Country:US
Mailing Address - Phone:941-629-4311
Mailing Address - Fax:
Practice Address - Street 1:3440 CONWAY BLVD STE 2A
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-7050
Practice Address - Country:US
Practice Address - Phone:941-629-4311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty