Healthcare Provider Details

I. General information

NPI: 1114706801
Provider Name (Legal Business Name): DREAM SLEEP CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29872 OVERSEAS HWY
BIG PINE KEY FL
33043-3313
US

IV. Provider business mailing address

17081 STARFISH LN W
SUGARLOAF KEY FL
33042-3621
US

V. Phone/Fax

Practice location:
  • Phone: 321-890-2843
  • Fax:
Mailing address:
  • Phone: 321-890-2843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. AMANDA COBB
Title or Position: CEO
Credential: DMD
Phone: 321-890-2843