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A FITTING EXPERIENCE MASTECTOMY SHOPPE INC. NPI 1265433171


NPI Information

NPI: 1265433171
Provider Name: A FITTING EXPERIENCE MASTECTOMY SHOPPE, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2950 N STATE ROAD 7 STE 103
MARGATE, FL
ZIP 33063
Phone: (954) 978-8287
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A FITTING EXPERIENCE MASTECTOMY SHOPPE, INC. is a prosthetic orthotic supplier in Margate, FL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. A FITTING EXPERIENCE MASTECTOMY SHOPPE, INC. NPI is 1265433171. The provider is registered as an organization entity type.

The provider's business location address is:

2950 N STATE ROAD 7 STE 103
MARGATE, FL
ZIP 33063-748
Phone: (954) 978-8287
Fax: (954) 978-9059

The provider's authorized official is Beth Rose Agami .
The authorized official title is President/co-owner and has the following contact phone number (954) 978-8287.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 3/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic Supplier1187390002FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1283302OTHERFLORIDAAV-MED PROVIDER NUMBER
2M2420OTHERFLORIDABC/BS OF FLORIDA
39490689001OTHERFLORIDACIGNA PROVIDER
4M2726OTHERFLORIDABC/BS OF FLORIDA-MARGATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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