Provider Demographics
NPI:1851822217
Name:FLORIDA SLEEP SOLUTIONS, INC
Entity Type:Organization
Organization Name:FLORIDA SLEEP SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-433-5556
Mailing Address - Street 1:20056 E PENNSYLVANIA AVE
Mailing Address - Street 2:UNIT # 6
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34432-6062
Mailing Address - Country:US
Mailing Address - Phone:352-873-7500
Mailing Address - Fax:352-861-7501
Practice Address - Street 1:20056 E PENNSYLVANIA AVE
Practice Address - Street 2:UNIT # 6
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34432-6062
Practice Address - Country:US
Practice Address - Phone:352-873-7500
Practice Address - Fax:352-861-7501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10883261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic