Organization
CUSTOM DEZIGNS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY COHEN (CEO)
(726) 564-7786
Entity
Organization
Contact information
Practice address
1025 22ND ST S, ST PETERSBURG, FL 33712-2254
(727) 564-7786
Mailing address
5036 DR MARTIN LUTHER KING JR ST S, ST PETERSBURG, FL 33705-4929
(727) 564-7786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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