Organization
THE DME BOUTIQUE LLC
Active
Parent organization
THE DME BOUTIQUE LLC
Other names
HOPE MASTECTOMY BOUTIQUE
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE DME BOUTIQUE LLC
Authorized official
JOHN ALMONACID (OWNER)
(954) 261-7081
Entity
Organization
Contact information
Practice address
2880 S OSCEOLA AVE, ORLANDO, FL 32806-5431
(407) 993-6323
(954) 272-7111
Mailing address
8353 PINES BLVD, PEMBROKE PINES, FL 33024-6607
(954) 505-4411
(954) 272-7111
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024105100
—
FL
Enumeration date
10/21/2024
Last updated
10/21/2024
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