Madeline Hair Collection LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MADELINE HAIR COLLECTION LLC

Practice address

300 SE 2ND St Ste 600
Fort Lauderdale, FL 33301-1950

Phone

(561) 563-2071

NPI assigned

Nov 11, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Madeline C Liberiste

Title

Ambr

Phone

(561) 563-2071

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1003418351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE 2ND ST STE 600",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011950",
            "telephone_number": "561-563-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 2ND ST STE 600",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011950",
            "telephone_number": "561-563-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELINE HAIR COLLECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "LIBERISTE",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "561-563-2071"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Mack
• Tyrael Antonio Mack
• Dennis M. Mackman, M.D.
• Laura Ruth Madden, PT
• Bharat Chandra Maddukuri, DO
• Margie Mader, LMFT, C.HT.
• Munir Ahmed Madiwale, M.D.
• Aris Madrigal
• Kyrah Maduro, OTD, OTR/L
• Adrian T. Maestas, M.D.

• Customized Equipment (DME) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.