Organization
BEEE ARTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE CHRISTINE HARVIN COSMOTOLOGIST (OWNER)
(336) 929-0081
Entity
Organization
Contact information
Practice address
921 49TH ST S, GULFPORT, FL 33707-2637
(727) 248-2280
Mailing address
921 49TH ST S, GULFPORT, FL 33707-2637
(727) 248-2280
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CE10002480
FL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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