# DIVINE APPAREL, LLC

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

## Provider details

- **NPI number:** 1730417742
- **Authorized official:** MR. DONOVAN DENNIS DAVIS (PRESIDENT)
- **Authorized official phone:** (407) 448-3665

## Contact information

- **Practice address:** 140 S WEST AVE, MAITLAND, FL 32751-5465
- **Practice address phone:** (407) 448-3665
- **Practice address fax:** (407) 479-3210
- **Mailing address:** 140 S WEST AVE, MAITLAND, FL 32751-5465
- **Mailing address phone:** (407) 448-3665
- **Mailing address fax:** (407) 479-3210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2009
- **Last updated:** 12/02/2009
