# SECRETLY YOURS ENT INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1144357856
- **Authorized official:** MS. JODI L DAVIS (OWNER)
- **Authorized official phone:** (561) 694-5970

## Contact information

- **Practice address:** 9121 N MILITARY TRL STE 105, WEST PALM BEACH, FL 33410-5985
- **Practice address phone:** (561) 694-5970
- **Practice address fax:** (561) 694-5972
- **Mailing address:** 9121 N MILITARY TRAIL SUITE 105, PALM BEACH GARDENS, FL 33410
- **Mailing address phone:** (561) 694-5970
- **Mailing address fax:** (561) 694-5972

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 06/07/2024