Organization
ARTISAN KROWNS LLC
Active
Other names
Glamorous Lyfe Divaz
Organization subpart
No
Provider details
NPI number
Authorized official
TERLYN S DAVIS (OWNER)
(352) 702-8141
Entity
Organization
Contact information
Practice address
8121 SILVER STAR RD, ORLANDO, FL 32808
(352) 702-8141
Mailing address
1548 WHITEFRIAR DR, OCOEE, FL 34761-5109
(352) 702-8141
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/17/2022
Last updated
09/02/2025
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