Organization
BREATHE SLEEP CENTER, LLC
Active
Other names
Advanced Dental Associates of South Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN LEE ELIKOFER DDS (PRESIDENT)
(812) 568-1195
Entity
Organization
Contact information
Practice address
4312 W EL PRADO BLVD, TAMPA, FL 33629-8440
(813) 831-8588
(813) 831-7036
Mailing address
4312 W EL PRADO BLVD, TAMPA, FL 33629-8440
(813) 831-8588
(813) 831-7036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/31/2025
Last updated
02/03/2025
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