HAIR LOSS SPEALIST NPI 1366897779

NPI Information

NPI: 1366897779
Provider Name: HAIR LOSS SPEALIST
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address: 1631 N COCOA BLVD
COCOA, FL
ZIP 32922
Phone: (321) 632-8855

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NPI Details

HAIR LOSS SPEALIST is a prosthetic orthotic supplier in Cocoa, 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. HAIR LOSS SPEALIST NPI is 1366897779. The provider is registered as an organization entity type.

The provider's business location address is:

1631 N COCOA BLVD
COCOA, FL
ZIP 32922-935
Phone: (321) 632-8855

The provider's authorized official is Cynthia L Freeman .
The authorized official title is Owner and has the following contact phone number (407) 761-6238.

The enumeration date for this NPI number is 5/4/2016 and was last updated on 5/4/2016.

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
1	335E00000X	Prosthetic/Orthotic Supplier		BB29026	FLORIDA	Yes

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
1	1744P3200X	OTHER	FLORIDA	PROSTHEICS CASE MANGER

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: 11/21/2025

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