Organization
MADELINE HAIR COLLECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE C LIBERISTE (AMBR)
(561) 563-2071
Entity
Organization
Contact information
Practice address
300 SE 2ND ST STE 600, FORT LAUDERDALE, FL 33301-1950
(561) 563-2071
Mailing address
300 SE 2ND ST STE 600, FORT LAUDERDALE, FL 33301-1950
(561) 563-2071
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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