Provider Demographics
NPI:1780238089
Name:SLEEP WELL PALM BEACH LLC
Entity type:Organization
Organization Name:SLEEP WELL PALM BEACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:GARRETT
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-340-9321
Mailing Address - Street 1:124 SATINWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1603
Mailing Address - Country:US
Mailing Address - Phone:561-340-9321
Mailing Address - Fax:
Practice Address - Street 1:1317 W INDIANTOWN RD
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3907
Practice Address - Country:US
Practice Address - Phone:561-316-4260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No122300000XDental ProvidersDentistGroup - Multi-Specialty