Provider Demographics
NPI:1992240535
Name:SLEEP VIERA TREATMENT LLC
Entity type:Organization
Organization Name:SLEEP VIERA TREATMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOMINIC
Authorized Official - Last Name:ROPPA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:321-631-9395
Mailing Address - Street 1:5455 MURRELL RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-6615
Mailing Address - Country:US
Mailing Address - Phone:321-631-9395
Mailing Address - Fax:
Practice Address - Street 1:5455 MURRELL RD
Practice Address - Street 2:SUITE 108
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-6615
Practice Address - Country:US
Practice Address - Phone:321-631-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN177241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty