Provider Demographics
NPI:1205483047
Name:TRANQUIL SLEEP & PULMONARY SOLUTIONS
Entity type:Organization
Organization Name:TRANQUIL SLEEP & PULMONARY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:YEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-306-5700
Mailing Address - Street 1:11200 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-3259
Mailing Address - Country:US
Mailing Address - Phone:727-306-5700
Mailing Address - Fax:727-306-5756
Practice Address - Street 1:11200 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-3259
Practice Address - Country:US
Practice Address - Phone:727-306-5700
Practice Address - Fax:727-306-5756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty