# E.M. EXOTIC HAIR CREATION & SUPPLY 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:** 1205552890
- **Authorized official:** EVELYN METELLUS (OWNER)
- **Authorized official phone:** (561) 200-2820

## Contact information

- **Practice address:** 10300 FOREST HILL BLVD STE 270, WELLINGTON, FL 33414-3130
- **Practice address phone:** (561) 200-2820
- **Mailing address:** 10300 FOREST HILL BLVD STE 270, WELLINGTON, FL 33414-3130
- **Mailing address phone:** (561) 200-2820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 06/07/2026