Healthcare Provider Details

I. General information

NPI: 1952220824
Provider Name (Legal Business Name): BRITTANY SHABAZZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 COMMERCE PL STE A114
WEST PALM BEACH FL
33407-1913
US

IV. Provider business mailing address

225 BONNIE BLVD APT 102
PALM SPRINGS FL
33461-1325
US

V. Phone/Fax

Practice location:
  • Phone: 561-231-4521
  • Fax:
Mailing address:
  • Phone: 561-231-4521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberCE10029406
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberCE10029406
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: