# BLAQUE SUGGA DESIGNS

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

## Provider details

- **NPI number:** 1992395412
- **Authorized official:** MS. TAMICA WATSON (LICENSE COSMETOLOGIST HAIR LOSS)
- **Authorized official phone:** (347) 908-3223

## Contact information

- **Practice address:** 8791 N 56TH ST, TEMPLE TERRACE, FL 33617-6201
- **Practice address phone:** (347) 908-3223
- **Mailing address:** PO BOX 310052, TAMPA, FL 33680-0052
- **Mailing address phone:** (347) 832-7946

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 10/31/2023