# EBK BEAUTY

> 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:** 1194319665
- **Authorized official:** MS. KOBE ELLIS (CEO)
- **Authorized official phone:** (904) 392-1278

## Contact information

- **Practice address:** 9283 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5584
- **Practice address phone:** (904) 392-1278
- **Mailing address:** 9283 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5584
- **Mailing address phone:** (904) 392-1278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/25/2021
- **Last updated:** 02/25/2021