# FABULOUSLY MADE SALON, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962905182
- **Authorized official:** JOHANNA Y AMARANTE (HAIR LOSS SPECIALIST)
- **Authorized official phone:** (813) 444-3229

## Contact information

- **Practice address:** 8909 REGENTS PARK DR STE 415, TAMPA, FL 33647-3432
- **Practice address phone:** (813) 444-3229
- **Mailing address:** 8909 REGENTS PARK DR STE 415, TAMPA, FL 33647-3432
- **Mailing address phone:** (813) 444-3229

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2018
- **Last updated:** 01/14/2026