Healthcare Provider Details

I. General information

NPI: 1477358539
Provider Name (Legal Business Name): HB3 BEAUTY LUXE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 1ST ST S
WINTER HAVEN FL
33880-3903
US

IV. Provider business mailing address

1138 1ST ST S
WINTER HAVEN FL
33880-3903
US

V. Phone/Fax

Practice location:
  • Phone: 863-333-5303
  • Fax:
Mailing address:
  • Phone: 863-333-5303
  • 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: DESHALA S ROBINSON
Title or Position: OWNER
Credential:
Phone: 863-585-8202