Provider Demographics
NPI:1881665321
Name:INTERNATIONAL INSTITUTE OF SLEEP, INC.
Entity Type:Organization
Organization Name:INTERNATIONAL INSTITUTE OF SLEEP, INC.
Other - Org Name:AMERICAN CPAP SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-481-8467
Mailing Address - Street 1:2151 WEST HILLSBORO BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442
Mailing Address - Country:US
Mailing Address - Phone:954-481-8467
Mailing Address - Fax:954-427-8744
Practice Address - Street 1:2151 W HILLSBORO BLVD
Practice Address - Street 2:STE 100
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1200
Practice Address - Country:US
Practice Address - Phone:954-481-8467
Practice Address - Fax:954-426-8744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4483261QS1200X, 261QS1200X
FLHCC7218261QS1200X
FLHCC6568261QS1200X
FL1313038332B00000X, 332B00000X
FLHCC8003261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV3248OtherBCBS - LAKE WORTH LOCATION
FLR9487OtherBCBS (DME PROVIDER ID)
FLV2420OtherBCBS - DEERFIELD BEACH LOCATION
FL284817OtherAVMED
FLV3245OtherBCBS - PLANTATION LOCATION
FL21452OtherSOUTHCARE PPO
FL2825834OtherAETNA
FLE7248Medicare PIN
FLV2420OtherBCBS - DEERFIELD BEACH LOCATION
FL284817OtherAVMED
FLV3248OtherBCBS - LAKE WORTH LOCATION
FL4731670001Medicare NSC