MEDICARE: BEL CHEVEU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1003627399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEL CHEVEU

Provider Business Mailing Address
First Line	:	2157 SPOKANE RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-5603
Country	:	US
Telephone Number	:	407-963-3000
Fax Number	:	407-598-5565

Provider Business Practice Location Address
First Line	:	1135 COBBLESTONE CIR APT C
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-5595
Country	:	US
Telephone Number	:	407-963-3000
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. MANOUCHKA WILLIAMS
Credential	:
Telephone Number	:	407-963-3000

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	03/12/2025

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Directions to “BEL CHEVEU ” Practice Location

Language	Start Address	Practice Location

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