Hair Loss Spealist

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

BB29026 Issued in FL

Legal business name

HAIR LOSS SPEALIST

Practice address

1631 N Cocoa Blvd
Cocoa, FL 32922-6935

Phone

(321) 632-8855

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Cynthia L Freeman

Title

Owner

Phone

(407) 761-6238

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1366897779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 N. COCOA BLVD.",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "32922",
            "telephone_number": "321-632-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226935",
            "telephone_number": "321-632-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR LOSS SPEALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-761-6238"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "BB29026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHEICS CASE MANGER",
            "identifier": "1744P3200X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hany Sobhy Guirguis, M.D.
• Christine Gutierrez, RBT-24-327868
• Tyus Hadcock
• Rhiannon Haga
• Michele Hagans
• Thomas Joseph Hale, D.C.
• Bailey Chase Hamilton
• Lynn E Hancock, OTR/L
• Hand & Hand in-Home Care LLC
• Jeannine Marie Haney-Fryberger, LMHC

• Prosthetic/Orthotic Supplier in Cocoa, FL
• Providers in Cocoa, 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 May 4, 2016; 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.