# BOWTIE USA VIP SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043137458
- **Authorized official:** MR. HUDSON VIXAMAR (CEO)
- **Authorized official phone:** (786) 930-9337

## Contact information

- **Practice address:** 2720 S OAKLAND FOREST DR APT 1208, OAKLAND PARK, FL 33309-5685
- **Practice address phone:** (786) 930-9337
- **Mailing address:** 2720 S OAKLAND FOREST DR APT 1208, OAKLAND PARK, FL 33309-5685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2026
- **Last updated:** 07/06/2026