G-Luxe Wigs and Hair, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

G-LUXE WIGS AND HAIR, LLC

Practice address

1749 SW Ardmore St
Port St Lucie, FL 34953-1055

Phone

(772) 979-0119

NPI assigned

Oct 19, 2026

Last updated

Oct 22, 2026By 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

Ajia Nuru Abdulrahman

Title

Owner

Phone

(772) 979-0119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1306742143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 NW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862501",
            "telephone_number": "772-979-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 SW ARDMORE ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531055",
            "telephone_number": "772-979-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G-LUXE WIGS AND HAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "ABDULRAHMAN",
        "authorized_official_first_name": "AJIA",
        "authorized_official_middle_name": "NURU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-979-0119"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.