Medical Cranial Hair Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEDICAL CRANIAL HAIR PROSTHETICS

Doing business as

Prestige Hair Loss Solutions LLC

Practice address

2517 Dora Ave
Tavares, FL 32778-4977

Phone

(352) 742-8189

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

Penny S Harms

Title

Owner

Phone

(352) 742-8189

Specialties & licenses 1

Addresses

Other names 1

• Prestige Hair Loss Solutions LLC Doing business as

Locations

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1285222984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784977",
            "telephone_number": "352-742-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784977",
            "telephone_number": "352-742-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CRANIAL HAIR PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-742-8189"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Hair Loss Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan James McCall, NP-C
• Christopher McCaskill, PA
• Grant Barry McGee, CRNA
• Aleen Joy McGowan
• Colleen Joy McIntyre, RN FIRST ASSISTANT
• Medical Imaging Professionals PA
• Teodoro Medina, M.D.
• Mending Minds LLC
• April Smith Mendoza, M.D.
• Ariella Mendoza

• Prosthetic/Orthotic Supplier in Tavares, FL
• Providers in Tavares, 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 Jan 7, 2021; 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.