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Organization

TIGER BLOSSOM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATALIE HATJES (OWNER)
(330) 701-2642
Entity
Organization

Contact information

Practice address
2851 S OCEAN BLVD, #6U, BOCA RATON, FL 33432-8388
(330) 701-2642
Mailing address
2851 S OCEAN BLVD, #6U, BOCA RATON, FL 33432-8388
(330) 701-2642

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
11/28/2016
Last updated
11/28/2016
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