Provider Demographics
NPI:1942630868
Name:AMERICAN SLEEP PRODUCTS, LLC
Entity Type:Organization
Organization Name:AMERICAN SLEEP PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-517-5541
Mailing Address - Street 1:7900 BELFORT PKWY
Mailing Address - Street 2:301B
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6931
Mailing Address - Country:US
Mailing Address - Phone:904-517-5541
Mailing Address - Fax:904-517-5542
Practice Address - Street 1:5530 HIGHWAY 280
Practice Address - Street 2:104B
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2305
Practice Address - Country:US
Practice Address - Phone:205-437-7344
Practice Address - Fax:205-737-7341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies