Organization
DIVINE APPAREL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN DENNIS DAVIS (PRESIDENT)
(407) 448-3665
Entity
Organization
Contact information
Practice address
140 S WEST AVE, MAITLAND, FL 32751-5465
(407) 448-3665
(407) 479-3210
Mailing address
140 S WEST AVE, MAITLAND, FL 32751-5465
(407) 448-3665
(407) 479-3210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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