Organization · Type 2 NPI
Divine Dezires
Prosthetic/Orthotic Supplier · Wellington, FL
Practice location
9341 Forest Hill Blvd, Ste 650
Wellington, FL 33414
Fax (561) 484-1868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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About NPI 1124873906
Divine Dezires's National Provider Identifier is 1124873906, issued on Apr 23, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Wellington, FL. The record was last updated on Apr 24, 2024.