Healthcare Provider Details
I. General information
NPI: 1033036140
Provider Name (Legal Business Name): SLEEPSPAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 BROOK HOLLOW RD
MILFORD MA
01757-1059
US
IV. Provider business mailing address
10 BROOK HOLLOW RD
MILFORD MA
01757-1059
US
V. Phone/Fax
- Phone: 305-975-4607
- Fax: 305-508-3567
- Phone:
- Fax: 305-508-3567
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
BENAVIDES
Title or Position: OWNER
Credential: MD
Phone: 305-975-4607