Active NPI
Goldylost Hair LLC
- Prosthetic/Orthotic Supplier
- Pembroke Pines, FL
National Provider Identifier
1205794377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- GOLDYLOST HAIR LLC
- Practice address
- Suite House and Co
10350 Pines Blvd D106A
Pembroke Pines, FL 33026 - Phone
- (954) 459-1693
- NPI assigned
- Jan 15, 2026
- Last updated
- Jan 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto De Almeida Bustos
- Title
- Chief Operating Officer
- Phone
- (954) 459-1693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
Suite House and Co
10350 Pines Blvd D106A
Pembroke Pines, FL 33026
Mailing address
Suite House and Co
10350 Pines Blvd D106A
Pembroke Pines, FL 33026
Phone (954) 459-1693
National Provider Directory
National Provider DirectoryLocations
10350 Pines Blvd
#D106A
Pembroke Pines, FL 33026
Phone (954) 459-1693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1205794377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUITE HOUSE AND CO",
"address_2": "10350 PINES BLVD D106A",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33026",
"telephone_number": "954-459-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUITE HOUSE AND CO",
"address_2": "10350 PINES BLVD D106A",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33026",
"telephone_number": "954-459-1693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDYLOST HAIR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-15",
"last_updated": "2026-01-15",
"status": "A",
"authorized_official_last_name": "DE ALMEIDA BUSTOS",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "954-459-1693"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.