FABULOUSLY MADE SALON, LLC (NPI# 1962905182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962905182 |
| Entity Type | Organization |
| Organization Name | FABULOUSLY MADE SALON, LLC |
| Practice Address |
8913 Regents Park Dr Ste 620 Tampa FL 33647-3077 |
| Mailing Address |
6037 Osprey Lake Cir Riverview FL 33578-3959 |
| Practice Telephone | 8134443229 |
| Mailing Telephone | 8134443229 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | JOHANNA AMARANTE (CERTIFIED HAIR LOSS SPECIALIST) |
| Authorized Official Telephone | 8134443229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
8913 REGENTS PARK DR STE 620 |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526892 | Tavia Sevon Richards | Specialist | 12414 Touchton Dr Apt 95, Tampa, FL 33617-1544 | 2020-01-06 |
| 1265990865 | Ashley Simone Kitchens | Specialist | 1418 E Busch Blvd, Tampa, FL 33612-8656 | 2019-03-04 |
| 1396215406 | Chantail Chavon Williams | Specialist | 5474 Williams Rd Ste 1b, Tampa, FL 33610-9345 | 2018-12-01 |
| 1689167710 | Tera Stewart | Specialist | 8022 N 56th St, Tampa, FL 33617-7600 | 2018-06-13 |
| 1306345566 | Donette Kerr | Specialist | 1910 E 7th Ave, Tampa, FL 33605-3810 | 2018-02-02 |
| 1609375856 | Ybor City Elite Salon | Specialist | 1910 E 7th Ave Ste 102, Tampa, FL 33605-3810 | 2018-02-02 |
| 1154829711 | Johanna Y Amarante | Specialist | 20707 Center Oak Dr Ste 304, Tampa, FL 33647-3551 | 2018-01-30 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1851815302 | Adriana Jenkins | Specialist | 7402 N 56th St Ste 909, Tampa, FL 33617-7733 | 2017-07-26 |
| 1639627755 | Guilaine Destrat | Specialist | 1313 E Fletcher Ave, Tampa, FL 33612-3629 | 2016-09-19 |
| Find all providers in TAMPA | ||||
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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.