MEDICARE: ALL ABOUT YOU WOMEN'S BOUTIQUE LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1831364702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT YOU WOMEN'S BOUTIQUE LLC

Provider Business Mailing Address
First Line	:	4901 E SILVER SPRINGS BLVD
Second Line	:	STE505
City	:	OCALA
State	:	FL
Zip	:	34470-3219
Country	:	US
Telephone Number	:	352-208-0467
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 E SILVER SPRINGS BLVD
Second Line	:	STE505
City	:	OCALA
State	:	FL
Zip	:	34470-3219
Country	:	US
Telephone Number	:	352-208-0467
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LORI TIMMRECK
Credential	:
Telephone Number	:	352-208-0467

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	04/16/2026

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