Organization
SHOWTYME INTERNATIONAL HAIR & SHOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA Y GILREATH CERTIFIEDHAIRLOSSSPE (OWNER)
(407) 246-7076
Entity
Organization
Contact information
Practice address
2123 W COLONIAL DR, ORLANDO, FL 32804-6946
(407) 246-7076
Mailing address
2123 W COLONIAL DR, ORLANDO, FL 32804-6946
(407) 246-7076
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
04/29/2025
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