Healthcare Provider Details

I. General information

NPI: 1679496434
Provider Name (Legal Business Name): SNORE STORE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 N WYMORE RD STE 101
WINTER PARK FL
32789-2859
US

IV. Provider business mailing address

650 N WYMORE RD STE 101
WINTER PARK FL
32789-2859
US

V. Phone/Fax

Practice location:
  • Phone: 407-704-8537
  • Fax:
Mailing address:
  • Phone: 407-704-8537
  • Fax:

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: NAVIN VERMA
Title or Position: OWNER
Credential: MD
Phone: 407-704-8537