MEDICARE: SLEEP HEALTH FLORIDA, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1223G0001X	General Practice Dentistry
2	332BC3200X	Customized Equipment (DME)
3	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1316463250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP HEALTH FLORIDA, PLLC

Provider Business Mailing Address
First Line	:	4048 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9416
Country	:	US
Telephone Number	:	954-429-9480
Fax Number	:	954-429-9480

Provider Business Practice Location Address
First Line	:	4048 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9416
Country	:	US
Telephone Number	:	954-429-9480
Fax Number	:	954-429-9480

Authorized Official
Title or Position	:	OWNER/PRACTITIONER
Name	:	CHARLES NOTTINGHAM
Credential	:	DDS
Telephone Number	:	954-695-4333

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	07/21/2022

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