Healthcare Provider Details

I. General information

NPI: 1407424096
Provider Name (Legal Business Name): SLEEP SNORING & SINUS CLINIC OF FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NW 82ND AVE STE 403
PLANTATION FL
33324-1835
US

IV. Provider business mailing address

1172 S DIXIE HWY
CORAL GABLES FL
33146-2918
US

V. Phone/Fax

Practice location:
  • Phone: 855-368-6673
  • Fax: 954-437-6252
Mailing address:
  • Phone: 305-608-0207
  • Fax: 954-437-6252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLOS A TORRE
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 305-608-0207