Provider Demographics
NPI:1649648627
Name:SLEEP APNEA INSTITUTE OF SARASOTA INC
Entity type:Organization
Organization Name:SLEEP APNEA INSTITUTE OF SARASOTA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:CANNON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:941-539-9718
Mailing Address - Street 1:1419 BURGOS DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2705
Mailing Address - Country:US
Mailing Address - Phone:941-539-9718
Mailing Address - Fax:
Practice Address - Street 1:560 N WASHINGTON BLVD STE B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4253
Practice Address - Country:US
Practice Address - Phone:941-955-7344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15542261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental