Organization
NANCY K SMITH DBA ESPECIALLY FOR YOU MASTECTOMY BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY K SMITH (OWNER)
(407) 629-6826
Entity
Organization
Contact information
Practice address
1222 ORANGE AVE STE A, WINTER PARK, FL 32789-4918
(407) 629-6826
(407) 629-4437
Mailing address
1222 ORANGE AVE STE A, WINTER PARK, FL 32789-4918
(407) 629-6826
(407) 629-4437
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
07/16/2008
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