Healthcare Provider Details

I. General information

NPI: 1881665321
Provider Name (Legal Business Name): INTERNATIONAL INSTITUTE OF SLEEP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 W HILLSBORO BLVD STE 110
DEERFIELD BEACH FL
33442-1107
US

IV. Provider business mailing address

2151 W HILLSBORO BLVD STE 100
DEERFIELD BEACH FL
33442-1107
US

V. Phone/Fax

Practice location:
  • Phone: 954-481-8467
  • Fax: 954-426-8744
Mailing address:
  • Phone: 954-481-8467
  • Fax: 954-427-8744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberHCC7218
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberHCC6568
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1313038
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberHCC4483
License Number StateFL

VIII. Authorized Official

Name: MR. GLENN A BECKER
Title or Position: PRESIDENT CEO
Credential:
Phone: 954-481-8467