Provider Demographics
NPI:1174623946
Name:NYTECH SLEEP SOLUTIONS, INC.
Entity type:Organization
Organization Name:NYTECH SLEEP SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:REED
Authorized Official - Last Name:BOYKIN
Authorized Official - Suffix:
Authorized Official - Credentials:CRT/BSM
Authorized Official - Phone:941-625-6774
Mailing Address - Street 1:2616 TAMIAMI TRIAL
Mailing Address - Street 2:UNIT #1
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-6473
Mailing Address - Country:US
Mailing Address - Phone:941-625-6774
Mailing Address - Fax:941-235-1548
Practice Address - Street 1:2616 TAMIAMI TRIAL
Practice Address - Street 2:UNIT #1
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-6473
Practice Address - Country:US
Practice Address - Phone:941-625-6774
Practice Address - Fax:941-235-1548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312435332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5357710001Medicare ID - Type UnspecifiedPROVIDER