| Entity Name: | INTERNATIONAL INSTITUTE OF SLEEP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Jan 1999 (26 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 14 May 2001 (24 years ago) |
| Document Number: | P99000003780 |
| FEI/EIN Number | 65-1027299 |
| Address: | 2151 W HILLSBORO BLVD, SUIT 100, DEERFIELD BEACH, FL 33442 |
| Mail Address: | 2151 W HILLSBORO BLVD, SUIT 100, DEERFIELD BEACH, FL 33442 |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1881665321 | 2006-02-01 | 2016-03-15 | 2151 WEST HILLSBORO BLVD, STE 110, DEERFIELD BEACH, FL, 33442, US | 2151 W HILLSBORO BLVD, STE 100, DEERFIELD BEACH, FL, 334421200, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-481-8467 |
| Fax | 9544278744 |
| Fax | 9544268744 |
Authorized person
| Name | MR. GLENN A BECKER |
| Role | PRESIDENT CEO |
| Phone | 9544818467 |
Taxonomy
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| License Number | HCC4483 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| License Number | HCC7218 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| License Number | HCC6568 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1313038 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS - LAKE WORTH LOCATION |
| Number | V3248 |
| State | FL |
| Issuer | BCBS (DME PROVIDER ID) |
| Number | R9487 |
| State | FL |
| Issuer | BCBS - DEERFIELD BEACH LOCATION |
| Number | V2420 |
| State | FL |
| Issuer | AVMED |
| Number | 284817 |
| State | FL |
| Issuer | BCBS - PLANTATION LOCATION |
| Number | V3245 |
| State | FL |
| Issuer | SOUTHCARE PPO |
| Number | 21452 |
| State | FL |
| Issuer | AETNA |
| Number | 2825834 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BECKER, GLENN | Agent | 2151 W HILLSBORO BLVD, SUITE 100, DEERFIELD BEACH, FL 33442 |
| Name | Role | Address |
|---|---|---|
| Becker, Glenn | Director | 2151 W HILLSBORO BLVD #100, Deerfield Beach, FL 33442 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000151428 | AMERICAN CPAP SPECIALISTS | ACTIVE | 2024-12-13 | 2029-12-31 | No data | 2151 W HILLSBORO BLVD STE 100, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2009-03-30 | 2151 W HILLSBORO BLVD, SUIT 100, DEERFIELD BEACH, FL 33442 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-18 | 2151 W HILLSBORO BLVD, SUIT 100, DEERFIELD BEACH, FL 33442 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-18 | 2151 W HILLSBORO BLVD, SUITE 100, DEERFIELD BEACH, FL 33442 | No data |
| NAME CHANGE AMENDMENT | 2001-05-14 | INTERNATIONAL INSTITUTE OF SLEEP, INC. | No data |
| REGISTERED AGENT NAME CHANGED | 2000-08-21 | BECKER, GLENN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
