Organization
SILVERLINING BC & T INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFE A DAVIS CERTIFIED HAIR LOSS (SPECIALIST)
(727) 328-2623
Entity
Organization
Contact information
Practice address
1834 49TH ST S, B, GULFPORT, FL 33707-4387
(727) 328-2623
(727) 800-5007
Mailing address
1834 49TH ST S, B, GULFPORT, FL 33707-4387
(727) 328-2623
(727) 800-5007
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CL0239124
FL
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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