Healthcare Provider Details

I. General information

NPI: 1366801763
Provider Name (Legal Business Name): ALL DOLLED UP UNISEX BEAUTY SALON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3228 W. STATE ROAD 426 SUITE 1008
OVIEDO FL
32765
US

IV. Provider business mailing address

3228 W. STATE ROAD 426 SUITE 1008
OVIEDO FL
32765
US

V. Phone/Fax

Practice location:
  • Phone: 407-622-0422
  • Fax:
Mailing address:
  • Phone: 407-622-0422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. WILMA FAYE BAILEY
Title or Position: FOUNDER/OWNER
Credential: LICENSE COSMETOLOGIS
Phone: 407-394-7982