Organization
SHIELD OF COLORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANEKA IRVINM MBA (FOUNDER/OWNER)
(407) 967-2944
Entity
Organization
Contact information
Practice address
440 S ORANGE BLOSSOM TRL, ORLANDO, FL 32805-2559
(407) 967-2944
Mailing address
PO BOX 550866, ORLANDO, FL 32855-0866
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
11/09/2022
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