Healthcare Provider Details

I. General information

NPI: 1205637824
Provider Name (Legal Business Name): ORLANDO SLEEP APNEA SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3680 POSNER BLVD
DAVENPORT FL
33837-3641
US

IV. Provider business mailing address

2262 SUNSET WAY
DAVENPORT FL
33837-4238
US

V. Phone/Fax

Practice location:
  • Phone: 863-358-0014
  • Fax:
Mailing address:
  • Phone: 863-358-0014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CRAIG HOPETON FOSTER
Title or Position: OWNER
Credential: DDS
Phone: 863-358-0014