Healthcare Provider Details

I. General information

NPI: 1073384277
Provider Name (Legal Business Name): SWEET DREAMS TAMPA SLEEP APNEA INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 09/02/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 HENDERSON BLVD STE 111
TAMPA FL
33629-5693
US

IV. Provider business mailing address

4302 HENDERSON BLVD STE 111
TAMPA FL
33629-5693
US

V. Phone/Fax

Practice location:
  • Phone: 813-768-0807
  • Fax: 813-839-2206
Mailing address:
  • Phone: 813-768-0807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER NICOLE VEGA
Title or Position: PRACTICE MANAGER
Credential:
Phone: 813-839-2273