Healthcare Provider Details

I. General information

NPI: 1508785817
Provider Name (Legal Business Name): MAKING U BEAUTIFUL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4861 DILLION ST
LAKE WORTH FL
33463-4000
US

IV. Provider business mailing address

4861 DILLION ST
LAKE WORTH FL
33463-4000
US

V. Phone/Fax

Practice location:
  • Phone: 561-878-2023
  • Fax:
Mailing address:
  • Phone: 561-878-2023
  • 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: MELISSA A GIBBS
Title or Position: OWNER
Credential:
Phone: 561-878-2023