Organization
CUSTOM CROWNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSHAWN MARTIN (FOUNDER/ CEO)
(305) 788-7779
Entity
Organization
Contact information
Practice address
5202 PLUNKETT ST, HOLLYWOOD, FL 33021-8023
(754) 581-8402
Mailing address
5202 PLUNKETT ST, HOLLYWOOD, FL 33021-8023
(305) 788-7779
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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