Organization
SKINNERGIE LLC
Active
Other names
PERFECTLY CROWNED
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA S GETER GAINES (MANAGER)
(786) 270-8375
Entity
Organization
Contact information
Practice address
4330 W BROWARD BLVD STE O, PLANTATION, FL 33317-3754
(786) 270-8375
Mailing address
18830 NW 44TH CT, MIAMI GARDENS, FL 33055-2626
(786) 270-8375
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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