Healthcare Provider Details
I. General information
NPI: 1154245942
Provider Name (Legal Business Name): RENAL SLEEP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1799 S FEDERAL HWY
BOCA RATON FL
33432-7412
US
IV. Provider business mailing address
1799 S FEDERAL HWY
BOCA RATON FL
33432-7412
US
V. Phone/Fax
- Phone: 561-816-8851
- Fax:
- Phone: 561-816-8851
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MURRAY
JAY
BERALL
Title or Position: MGR
Credential: MD
Phone: 561-816-8851