Organization
THE DME BOUTIQUE LLC
Active
Other names
Hope Mastectomy Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALMONACID (CEO)
(954) 261-7081
Entity
Organization
Contact information
Practice address
8353 PINES BLVD, PEMBROKE PINES, FL 33024-6607
(954) 261-7081
Mailing address
8353 PINES BLVD, PEMBROKE PINES, FL 33024-6607
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024105100
—
FL
Enumeration date
10/30/2016
Last updated
10/21/2024
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