# MAGNOLIA SLEEP CENTER AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1669247953
- **Authorized official:** DIMIA OTI (OFFICE MANAGER)
- **Authorized official phone:** (954) 553-6639

## Contact information

- **Practice address:** 9725 SW 184TH ST, PALMETTO BAY, FL 33157-6932
- **Practice address phone:** (954) 553-6639
- **Mailing address:** 9725 SW 184TH ST, PALMETTO BAY, FL 33157-6932
- **Mailing address phone:** (954) 553-6639

## 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:** 11/16/2023
- **Last updated:** 12/29/2025