Healthcare Provider Details

I. General information

NPI: 1467949016
Provider Name (Legal Business Name): SLEEP APNEA WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2018
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SE OCEAN BLVD BLDG A STE 102
STUART FL
34994
US

IV. Provider business mailing address

900 SE OCEAN BLVD BLDG A STE 102
STUART FL
34994-3503
US

V. Phone/Fax

Practice location:
  • Phone: 772-781-0744
  • Fax:
Mailing address:
  • Phone: 772-781-0744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JAMES JOHN HORAN
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 772-324-8939