Organization
MARY'S MAJESTIC MEDICAL WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JOHNSON (CRANIAL PROSTHESIS SPECIALIST)
(321) 603-1761
Entity
Organization
Contact information
Practice address
2589 WILEY AVE, MIMS, FL 32754-4506
(321) 603-1761
(321) 603-1761
Mailing address
3155 COLUMBIA BLVD # 1035, TITUSVILLE, FL 32780-7820
(321) 603-1761
(321) 603-1761
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up