Healthcare Provider Details

I. General information

NPI: 1184495855
Provider Name (Legal Business Name): PRETTY HAIR SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14508 LINCOLN BLVD STE 115
MIAMI FL
33176-7461
US

IV. Provider business mailing address

13727 SW 152ND ST # 765
MIAMI FL
33177-1106
US

V. Phone/Fax

Practice location:
  • Phone: 786-391-9391
  • Fax:
Mailing address:
  • Phone: 786-391-9391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: GANERRA BESS
Title or Position: PRESIDENT
Credential:
Phone: 786-391-9391