NORTHWEST FLORIDA SLEEP LLC (NPI# 1225561707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225561707 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FLORIDA SLEEP LLC |
| Practice Address |
310 Racetrack Rd Nw Suite 200 Fort Walton Beach FL 32547-1553 |
| Mailing Address |
214 Lafitte Cres Fort Walton Beach FL 32547-3293 |
| Practice Telephone | 8508894550 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | JASON BOOLE (PRESIDENT) |
| Authorized Official Telephone | 8508894550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
ME96773 | FL | Ambulatory Health Care Facilities |
| Street Address |
310 RACETRACK RD NW SUITE 200 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397719 | Christian Crochet | Physical Therapy Assistant | 310 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1553 | 2020-08-20 |
| 1467086009 | Jennifer Battle | Physical Therapy Assistant | 310 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1553 | 2020-02-22 |
| 1548760242 | Ashley Needler | Physical Therapist | 310 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1553 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269348 | Florida Sleep Solutions of Jax Inc | Clinic/Center | 13453 N Main St Ste 201, Jacksonville, FL 32218-2773 | 2020-06-15 |
| 1366072183 | Satyamrith Inc | Clinic/Center | 40 Sw 12th St Ste C101, Ocala, FL 34471-6502 | 2020-01-21 |
| 1255988127 | Hymegi, Inc. | Clinic/Center | 11116 Sw 132nd Pl Apt 3, Miami, FL 33186-7955 | 2019-08-24 |
| 1386297513 | South Broward Hospital District | Clinic/Center | 7369 Sheridan St Ste 302b, Hollywood, FL 33024-2776 | 2019-07-17 |
| 1376100909 | United Sleep Diagnostics, Inc. | Clinic/Center | 2241 N University Dr Ste A, Pembroke Pines, FL 33024-3609 | 2019-05-20 |
| 1699274845 | United Health Systems, Inc. | Clinic/Center | 10059 Nw 1st Ct, Plantation, FL 33324-7006 | 2018-02-02 |
| 1760981088 | United Health Systems, Inc. | Clinic/Center | 50 Nw 15th St Ste 108, Homestead, FL 33030-4267 | 2018-02-02 |
| 1508365826 | United Health Systems, Inc. | Clinic/Center | 6274 Linton Blvd Ste 106, Delray Beach, FL 33484-6508 | 2018-02-02 |
| 1306370283 | Sleep Ez Family and Sleep Health LLC | Clinic/Center | 13241 Bartram Park Blvd Unit 2009, Jacksonville, FL 32258-5223 | 2017-04-17 |
| 1851822217 | Florida Sleep Solutions, Inc | Clinic/Center | 20056 E Pennsylvania Ave, Unit # 6, Dunnellon, FL 34432-6062 | 2017-03-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on NORTHWEST FLORIDA SLEEP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.