Organization
DIVINE DEZIRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TURQUISHA PEACOCK (CRANIAL PROSTHESIS SPECIALIST)
(305) 450-9309
Entity
Organization
Contact information
Practice address
9341 FOREST HILL BLVD, STE 650, WELLINGTON, FL 33414
(305) 450-9309
(561) 484-1868
Mailing address
9341 FOREST HILL BLVD, STE 650, WELLINGTON, FL 33414
(305) 450-9309
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/24/2024
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