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Organization
COCO AND BLISS BEAUTY
Active
Organization
COCO AND BLISS BEAUTY
Active
Other names
ALLAY STUDIOS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXIS GILLAM (CEO)
(330) 559-1588
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(330) 559-1588
Mailing address
30929 MIRADA BLVD # 120, SAN ANTONIO, FL 33576-7306
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
NULL
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
—
NULL
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
03/20/2025
Last updated
05/12/2025
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