Healthcare Provider Details

I. General information

NPI: 1649199415
Provider Name (Legal Business Name): ALL SMILES SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30115 SR 52 STE 104
SAN ANTONIO FL
33576-8243
US

IV. Provider business mailing address

17200 CAMELOT CT
LAND O LAKES FL
34638-7202
US

V. Phone/Fax

Practice location:
  • Phone: 813-345-8580
  • Fax: 813-920-6712
Mailing address:
  • Phone: 813-345-8580
  • Fax: 813-920-6712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH N GRIMAUDO
Title or Position: PROVIDER
Credential: DMD
Phone: 813-345-8580