Healthcare Provider Details

I. General information

NPI: 1699697912
Provider Name (Legal Business Name): THE RENEE COLLECTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 FORUM PL STE B
WEST PALM BEACH FL
33401-2336
US

IV. Provider business mailing address

1691 FORUM PL STE B
WEST PALM BEACH FL
33401-2336
US

V. Phone/Fax

Practice location:
  • Phone: 347-461-1436
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CAMRY FLEMING
Title or Position: CEO/ OWNER
Credential:
Phone: 347-461-1436