Organization
UNIQUE LINGERIE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA B. TURNER DEGENESTE CFM (OWNER)
(352) 877-8700
Entity
Organization
Contact information
Practice address
1901 SE 18TH AVE STE 200A, OCALA, FL 34471-8228
(352) 877-8700
(352) 608-9718
Mailing address
5445 NE 1ST LN, OCALA, FL 34470-3418
(352) 877-8700
(352) 608-9718
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/30/2008
Last updated
04/15/2021
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