Provider Demographics
NPI:1942545041
Name:SLEEP APNEA TREATMENT CENTERS OF AMERICAN, LLC45414
Entity Type:Organization
Organization Name:SLEEP APNEA TREATMENT CENTERS OF AMERICAN, LLC45414
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-863-4537
Mailing Address - Street 1:201 E KENNEDY BLVD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5181
Mailing Address - Country:US
Mailing Address - Phone:855-863-4537
Mailing Address - Fax:
Practice Address - Street 1:201 E KENNEDY BLVD
Practice Address - Street 2:SUITE 325
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5181
Practice Address - Country:US
Practice Address - Phone:855-863-4537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-01
Last Update Date:2012-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty