A FITTING EXPERIENCE MASTECTOMY SHOPPE, INC. (NPI# 1265433171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265433171 |
| Entity Type | Organization |
| Organization Name | A FITTING EXPERIENCE MASTECTOMY SHOPPE, INC. |
| Practice Address |
2950 N State Road 7 Ste 103 Margate FL 33063-5748 |
| Practice Telephone | 9549788287 |
| Practice Fax Number | 9549789059 |
| Mailing Telephone | 9549788287 |
| Mailing Fax Number | 9549789059 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MRS. BETH ROSE AGAMI (PRESIDENT/CO-OWNER) |
| Authorized Official Telephone | 9549788287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 1187390002 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AV-MED PROVIDER NUMBER | 283302 | 01 |
| FL | BC/BS OF FLORIDA | M2420 | 01 |
| FL | CIGNA PROVIDER | 9490689001 | 01 |
| FL | BC/BS OF FLORIDA-MARGATE | M2726 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598711053 | A Fitting Experience Mastectomy Shoppe, Inc. | Prosthetic/Orthotic Supplier | 5816 Stirling Rd, Hollywood, FL 33021-1527 | 2006-05-26 |
| Street Address |
2950 N STATE ROAD 7 STE 103 |
| City | MARGATE |
| State | FL |
| Zip Code | 33063-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1366051872 | Tasheen Fletcher | Social Worker | 4716 West Atlantic Blvd, Coconut Creek, FL 33063 | 2020-07-30 |
| 1437768116 | Care for You Medical Center, LLC | Clinic/Center | 5412 West Atlantic Blvd, Margate, FL 33063 | 2020-07-28 |
| 1073130621 | Freedom of Speech Therapy Center | Clinic/Center | 6344 Duval Drive, Margate, FL 33063 | 2020-06-30 |
| 1326683558 | Timekia Miller | Nurse Practitioner | 6343 Harbor Bnd, Margate, FL 33063 | 2019-11-12 |
| 1487138236 | Kavine Annita Taylor-dyke | Nurse Practitioner | 272 Nw 80th Terrace, Margate, FL 33063 | 2018-09-18 |
| 1750890513 | Breath of Life Medical Center Inc | Internal Medicine | 5090 Coconut Creek Pkwy, Margate, FL 33063 | 2017-09-25 |
| 1881116796 | Stephanie Lola Backer | Nurse Practitioner | 5825 Toscana Place, Apt 206, Margate, FL 33063 | 2017-07-12 |
| 1346761384 | Kayan Oconnor Robinson | Technician, Other | 300 Lakewood Circle, Unit C, Margate, FL 33063 | 2017-06-29 |
| 1245610138 | Shailee B Patel | Dermatology | 3275 N. State Road 7, Margate, FL 33063 | 2015-06-04 |
| Find all providers in zip 33063 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306146501 | Innovative Rehab Solutions Inc. | Prosthetic/Orthotic Supplier | 2825 N State Road 7, Suite 203, Margate, FL 33063-5737 | 2010-10-22 |
| 1801842265 | Tropical Palms Hand Therapy, Inc. | Prosthetic/Orthotic Supplier | 5800 Colonial Dr, Suite 400, Margate, FL 33063-5682 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.