Cynthia's Wig Boutique LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CYNTHIA'S WIG BOUTIQUE LLC

Practice address

1641 Mahan Center Blvd
Suite 2
Tallahassee, FL 32308-7404

Phone

(850) 386-9447

NPI assigned

Sep 9, 2013

Last updated

Feb 3, 2014By 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

Mrs. Cynthia P Douglas, CFMNPI 1225392806

Title

Owner

Phone

(850) 386-9447

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia P Douglas, CFM

  • Mastectomy Fitter
  • Tallahassee, FL
  • NPI 1225392806
  Authorized official Same address or phone

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1265867253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 MAHAN CENTER BLVD",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087404",
            "telephone_number": "850-386-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 MAHAN CENTER BLVD",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087404",
            "telephone_number": "850-386-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA'S WIG BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-386-9447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karin Gertrud D'Amico

• Durable Medical Equipment & Medical Supplies in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.