Active NPI
Elegant Beauty Supplies # 9 Inc
- Prosthetic/Orthotic Supplier
- Opa Locka, FL
National Provider Identifier
1700123692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.