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NPI Code Detail

MEDICARE: BEAUTE BIZ INC.

MEDICARE: BEAUTE BIZ INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1528131000
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUTE BIZ INC.
Provider Business Mailing Address
First Line : 3833 S NOVA RD
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-4950
Country : US
Telephone Number : 386-788-2311
Fax Number : 386-760-8760
Provider Business Practice Location Address
First Line : 3833 S NOVA RD
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-4950
Country : US
Telephone Number : 386-788-2311
Fax Number : 386-760-8760
Authorized Official
Title or Position : PRES.OWNER
Name : MRS. SUSAN PHANCO
Credential :
Telephone Number : 386-788-2311
Provider Enumeration Date : 11/15/2006
Last Update Date : 08/22/2020

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Directions to “BEAUTE BIZ INC. ” Practice Location

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