# COGNISLEEP LLC

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

## Provider details

- **NPI number:** 1508394172
- **Authorized official:** DACELIN ST MARTIN MD (CEO)
- **Authorized official phone:** (352) 794-3897

## Contact information

- **Practice address:** 1990 N PROSPECT AVE, LECANTO, FL 34461-9792
- **Practice address phone:** (352) 794-3897
- **Mailing address:** PO BOX 2066, LECANTO, FL 34460-2066
- **Mailing address phone:** (352) 794-3897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2017
- **Last updated:** 05/26/2017