# WIGS AND HAIR EXTENSIONS OF SARASOTA INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sarasota Mastectomy Products.com
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518233477
- **Authorized official:** MS. NANCY J OLEVSON WIGS & BREAST FORMS (PRESIDENT)
- **Authorized official phone:** (941) 600-6387

## Contact information

- **Practice address:** 2412 STICKNEY POINT ROAD, SARASOTA, FL 34231
- **Practice address phone:** (941) 600-6387
- **Mailing address:** 2412 STICKNEY POINT ROAD, SARASOTA, FL 34231
- **Mailing address phone:** (941) 600-6387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | CL1225850 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 400279 | FL | — |

## Other

- **Enumeration date:** 03/26/2012
- **Last updated:** 11/25/2015