Organization
COCO AND BLISS BEAUTY
Active
Other names
ALLAY STUDIOS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXIS GILLAM (CEO)
(330) 559-1588
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(330) 559-1588
Mailing address
30929 MIRADA BLVD # 120, SAN ANTONIO, FL 33576-7306
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/20/2025
Last updated
05/12/2025
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