Divine Dezires

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DIVINE DEZIRES

Practice address

9341 Forest Hill Blvd
Ste 650
Wellington, FL 33414

Phone

(305) 450-9309

Fax

(561) 484-1868

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Turquisha PeacockNPI 1841046992

Title

Cranial Prosthesis Specialist

Phone

(305) 450-9309

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Turquisha M Peacock

  • Prosthetics Case Management
  • Wellington, FL
  • NPI 1841046992
  NPD Authorized official

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1124873906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9341 FOREST HILL BLVD",
            "address_2": "STE 650",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "305-450-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9341 FOREST HILL BLVD",
            "address_2": "STE 650",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "305-450-9309",
            "fax_number": "561-484-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DEZIRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "TURQUISHA",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "305-450-9309"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5614841868",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "9341 Forest Hill Blvd",
            "address_2": "Ste 650",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Dimarco, PH.D.
• Patricia Rose Dimatteo
• Jeannette Diodonet
• Aruna Liane Diptee, ARNP
• Tinesha Mays Disroe
• Muon Doan
• Jan J Dobrowolski, M.D.
• Doctors Physiotherapy Inc
• Peter Dominianni, M.S., P.T.
• Donna H Kleban MD Facs PA

• Prosthetic/Orthotic Supplier in Wellington, FL
• Providers in Wellington, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.