Provider Demographics
NPI:1679791891
Name:SONESTA SLEEP THERAPIES, LLC
Entity type:Organization
Organization Name:SONESTA SLEEP THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:W
Authorized Official - Last Name:SOWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-524-2896
Mailing Address - Street 1:13787 BELCHER RD S
Mailing Address - Street 2:STE 220
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4065
Mailing Address - Country:US
Mailing Address - Phone:727-524-2896
Mailing Address - Fax:727-524-2516
Practice Address - Street 1:13787 BELCHER RD S
Practice Address - Street 2:STE 220
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4065
Practice Address - Country:US
Practice Address - Phone:727-524-2896
Practice Address - Fax:727-524-2516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies