Healthcare Provider Details

I. General information

NPI: 1780515981
Provider Name (Legal Business Name): RIFA ROYAL LENGTHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 VININGS WAY BLVD
DESTIN FL
32541-5367
US

IV. Provider business mailing address

329 VININGS WAY BLVD APT 9201 BUILDING 9 APT 201
DESTIN FL
32541-5368
US

V. Phone/Fax

Practice location:
  • Phone: 850-460-5275
  • Fax:
Mailing address:
  • Phone: 850-460-5275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. SHERIFA O GALLOWAY
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 850-460-5275