Lifeshapes Boutique Inc in Brandon - Prosthetic/orthotic Supplier
Lifeshapes Boutique Inc - NPI 1316047350
Lifeshapes Boutique Inc is a Prosthetic/orthotic Supplier in Brandon, Florida. Lifeshapes Boutique Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Lifeshapes Boutique Inc is 1316047350. The last update date is 2020-08-22.
Lifeshapes Boutique Inc's current location address is 518 Lakewood Dr, Brandon, Florida. You can contact this provider via phone number 8136546968 and fax number 8136556968. The mailing address for Lifeshapes Boutique Inc is 518 Lakewood Dr, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifeshapes Boutique Inc |
|---|---|
| Address | 518 Lakewood Dr, Brandon, Florida |
| Phone Number | 8136546968 |
| Fax Number | 8136556968 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dickey Noriega Felicia |
| Telephone Number | 8136296331 |
NPI Number Detail
| NPI Number | 1316047350 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 518 Lakewood Dr |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335104037 |
| Phone Number | 8136546968 |
| Fax Number | 8136556968 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M2444 | FL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Lifeshapes Boutique Inc by the Centers for Medicare & Medicaid Services?
The Lifeshapes Boutique Inc has been issued the NPI (National Provider Identifier) 1316047350. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lifeshapes Boutique Inc?
The Lifeshapes Boutique Inc is situated at 518 Lakewood Dr, in the city of Brandon, state of FL, with the zip code 335104037.
What is Lifeshapes Boutique Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lifeshapes Boutique Inc is Prosthetic/orthotic Supplier, and the corresponding taxonomy classification code for this specialized field is 335E00000X.
When was the Lifeshapes Boutique Inc's 1316047350 issued?
The Lifeshapes Boutique Inc's 1316047350 was issued on 2006-09-22.
As of what date were the details related to Lifeshapes Boutique Inc most recently updated or revised?
The information pertaining to Lifeshapes Boutique Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.