Organization
HEALTHY HEART SLEEP FACILITY OF KISSIMMEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVI WEISFOGEL DDS (PRESIDENT)
(732) 257-5600
Entity
Organization
Contact information
Practice address
905 N CENTRAL AVE, KISSIMMEE, FL 34741-5029
(407) 350-5058
Mailing address
30 STATE ROUTE 18, OLD BRIDGE, NJ 08857-1420
(732) 257-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20783
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
D120783
NJ
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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