Active NPI
Skinnergie LLC
- Prosthetic/Orthotic Supplier
- Plantation, FL
National Provider Identifier
1497413520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SKINNERGIE LLC
- Practice address
- 4330 W Broward Blvd Ste O
Plantation, FL 33317-3754 - Phone
- (786) 270-8375
- NPI assigned
- Dec 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela S Geter Gaines
- Title
- Manager
- Phone
- (786) 270-8375
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4330 W Broward Blvd Ste O
Plantation, FL 33317-3754
Mailing address
18830 NW 44TH CT
Miami Gardens, FL 33055-2626
Phone (786) 270-8375
Other names 1
- PERFECTLY CROWNED
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1497413520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18830 NW 44TH CT",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330552626",
"telephone_number": "786-270-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 W BROWARD BLVD STE O",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173754",
"telephone_number": "786-270-8375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKINNERGIE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "GETER GAINES",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "786-270-8375"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PERFECTLY CROWNED",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 6, 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.