Healthcare Provider Details

I. General information

NPI: 1740757111
Provider Name (Legal Business Name): HEALTHY SLEEP SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 04/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 LEE RD STE B
WINTER PARK FL
32789-1871
US

IV. Provider business mailing address

2001 LEE RD STE B
WINTER PARK FL
32789-1871
US

V. Phone/Fax

Practice location:
  • Phone: 407-645-4741
  • Fax:
Mailing address:
  • Phone: 407-645-4741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUIS G. ACOSTA
Title or Position: MANAGER
Credential: DMD
Phone: 407-645-4741