Organization Active NPI

Elegant Beauty Supplies # 9 Inc

  • Prosthetic/Orthotic Supplier
  • Opa Locka, FL
National Provider Identifier
1700123692
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ELEGANT BEAUTY SUPPLIES # 9 INC
Practice address
2710 NW 135TH St
Opa Locka, FL 33054-4856
Phone
(954) 921-9129
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Mr. Bashir Malouf
Title
Director
Phone
(305) 202-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2710 NW 135TH St
Opa Locka, FL 33054-4856

Mailing address

1209 S 30TH Ave
Hollywood, FL 33020-5631
Phone (954) 921-9129

National Provider Directory

National Provider Directory

Locations

1209 S 30th Ave
Hollywood, FL 33020

2710 NW 135th St
Opa Locka, FL 33054
Phone (954) 921-9129

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1700123692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 S 30TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205631",
            "telephone_number": "954-921-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 NW 135TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330544856",
            "telephone_number": "954-921-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT BEAUTY SUPPLIES # 9 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "MALOUF",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-202-1224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.