Organization Active NPI

Precision Fit Mastectomy Boutique LLC

  • Durable Medical Equipment & Medical Supplies
  • Plantation, FL
National Provider Identifier
1396604849
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRECISION FIT MASTECTOMY BOUTIQUE LLC
Practice address
1860 N Pine Island Rd Ste 104
Plantation, FL 33322-5234
Phone
(754) 200-4859
Fax
(754) 203-0230
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Gloria Firnhaber
Title
Owner/Ceo
Phone
(754) 200-4859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1860 N Pine Island Rd Ste 104
Plantation, FL 33322-5234

Mailing address

1860 N Pine Island Rd Ste 104
Plantation, FL 33322-5234
Phone (754) 200-4859

National Provider Directory

National Provider Directory

Locations

1860 N Pine Island Rd
Ste 104
Plantation, FL 33322
Phone (754) 200-4859

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1396604849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N PINE ISLAND RD STE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225234",
            "telephone_number": "754-200-4859",
            "fax_number": "754-203-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N PINE ISLAND RD STE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225234",
            "telephone_number": "754-200-4859",
            "fax_number": "754-203-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION FIT MASTECTOMY BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "FIRNHABER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "754-200-4859"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.