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Glamorous Lyfe Divaz Llc
Customized Equipment (DME) in Wildwood, Florida
NPI 1326781485

Glamorous Lyfe Divaz Llc is a Customized Equipment (DME) based in Ocoee, FL and is specialized in Customized Equipment. Glamorous Lyfe Divaz Llc practices in Wildwood, FL. The NPI Number for Glamorous Lyfe Divaz Llc is 1326781485 and holds a License No. (Florida).

The current practice location address for Glamorous Lyfe Divaz Llc is 800 Pleasantdale Dr, Wildwood, FL and can be reached out via phone at 352-702-8141.

Location: 800 Pleasantdale Dr, Wildwood, FL, 34761-5109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326781485
Provider Name
Glamorous Lyfe Divaz Llc
Credential
Provider Entity Type
Organization
Address
800 Pleasantdale Dr, Wildwood, FL, 34761-5109
Phone Number
352-702-8141
Fax Number
Provider Enumeration Date
04/17/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
800 Pleasantdale Dr
City
Wildwood
State
Florida
Zip
34785-3527
Phone Number
352-702-8141
Fax Number
person
Provider Business Mailing Address Details
Address
800 Pleasantdale Dr
City
Wildwood
State
Florida
Zip
34785-3527
Phone Number
352-702-8141
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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