Healthcare Provider Details

I. General information

NPI: 1376480855
Provider Name (Legal Business Name): JAYE DELUXE MEDICAL HAIR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3049 CLEVELAND AVE STE 249
FORT MYERS FL
33901-7046
US

IV. Provider business mailing address

3049 CLEVELAND AVE STE 249
FORT MYERS FL
33901-7046
US

V. Phone/Fax

Practice location:
  • Phone: 833-536-4247
  • Fax: 239-518-3848
Mailing address:
  • Phone: 833-536-4247
  • Fax: 239-518-3848

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. JEVENISE FERTIL
Title or Position: OWNER
Credential:
Phone: 239-222-1511