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Organization
WIGS AND HAIR EXTENSIONS OF SARASOTA INC.
Active
Organization
WIGS AND HAIR EXTENSIONS OF SARASOTA INC.
Active
Other names
Sarasota Mastectomy Products.com
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY J OLEVSON WIGS & BREAST FORMS (PRESIDENT)
(941) 600-6387
Entity
Organization
Contact information
Practice address
2412 STICKNEY POINT ROAD, SARASOTA, FL 34231
(941) 600-6387
Mailing address
2412 STICKNEY POINT ROAD, SARASOTA, FL 34231
(941) 600-6387
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1225850
FL
332B00000X
Durable Medical Equipment & Medical Supplies
400279
FL
Other
Enumeration date
03/26/2012
Last updated
11/25/2015
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