Provider Demographics
NPI:1538615331
Name:SUNSET SLEEP MEDICINE INC
Entity type:Organization
Organization Name:SUNSET SLEEP MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDVESKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:727-799-3815
Mailing Address - Street 1:2329 SUNSET POINT RD
Mailing Address - Street 2:STE 202
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1438
Mailing Address - Country:US
Mailing Address - Phone:727-799-3815
Mailing Address - Fax:727-797-4860
Practice Address - Street 1:2329 SUNSET POINT RD
Practice Address - Street 2:STE 202
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1438
Practice Address - Country:US
Practice Address - Phone:727-799-3815
Practice Address - Fax:727-797-4860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental