Unique Boutique LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

UNIQUE BOUTIQUE LLC

Practice address

125 S Miramar Ave
Indialantic, FL 32903-3225

Phone

(321) 626-5610

NPI assigned

Feb 8, 2009

Last updated

Feb 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Philip J Decara

Title

Dir of Operations

Phone

(321) 626-5610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234051200000",
    "number": "1235378746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MIRAMAR AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033225",
            "telephone_number": "321-626-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MIRAMAR AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033225",
            "telephone_number": "321-626-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-08",
        "last_updated": "2009-02-08",
        "status": "A",
        "authorized_official_last_name": "DECARA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "321-626-5610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily E Tonn, LMHC
• Tranquility Mental Health PA
• True Integrated Health & Wellness
• Robert Charles Ufferman, M.D.
• Uncommon Counseling, Consulting, and Coaching, LLC
• Sophia Fay Vicos
• Viera Psychological Services PA
• Nevin Vijayaraghavan, DO
• Virginia McCarley, LMHC LLC
• Vitacore Medical Group, PLLC

• Prosthetic/Orthotic Supplier in Indialantic, FL
• Providers in Indialantic, 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 Feb 8, 2009; 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.