# EXQUISITE HAIR & REPLACEMENT LLC

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

## Provider details

- **NPI number:** 1568908671
- **Authorized official:** CYNTHIA FREEMAN (CEO)
- **Authorized official phone:** (407) 761-6238

## Contact information

- **Practice address:** 1631 N COCOA BLVD, COCOA, FL 32922-6935
- **Practice address phone:** (407) 761-6238
- **Mailing address:** 1631 N COCOA BLVD, COCOA, FL 32922-6935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | Yes |
| 1744P3200X | Prosthetics Case Management | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2017
- **Last updated:** 01/12/2017