# GULF COAST DENTAL SLEEP CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083958672
- **Authorized official:** DR. CHRIS FARRUGIA DDS (MGMB)
- **Authorized official phone:** (850) 501-4146

## Contact information

- **Practice address:** 4900 MARKET PLACE RD, PENSACOLA, FL 32504-8985
- **Practice address phone:** (850) 501-4146
- **Mailing address:** 4900 MARKET PLACE RD, PENSACOLA, FL 32504-8985
- **Mailing address phone:** (850) 501-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | DN9602 | FL | Yes |

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 11/20/2012