Lifeshapes Boutique Inc

LBN: Lifeshapes Boutique Inc
Lifeshapes Boutique Inc is an health care organization with primary practice located at 518 Lakewood Dr , Brandon FL 33510-4037. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Lifeshapes Boutique Inc can be contacted via phone (813) 654-6968, or through Dickey, Felicia Noriega via phone (813) 629-6331.

Contact Information

Primary practice address
518 Lakewood Dr Brandon FL 33510-4037
Phone: (813) 654-6968
Fax: (813) 655-6968
Website:
Map and Directions
Authorized official contact:
Name: Dickey, Felicia Noriega
Phone: (813) 629-6331

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1316047350
LBN Legal business name Lifeshapes Boutique Inc
DBA Doing business as
Authorized official Dickey, Felicia Noriega
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316047350 NPPES
Florida Other M2444 BCBS

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