Organization · NPI-2
Persona Bespoke LLC
Technician, Attendant Care Provider · North Lauderdale, FL
NPI number1053292144
StatusActive
Last updated in NPPESSep 8, 2025
Details
- NPI
- 1053292144
- Entity type
- Organization (NPI-2)
- Legal business name
- Persona Bespoke LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2025
- Certification date
- Sep 8, 2025
- Last updated
- Sep 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
8208 S Coral CirNorth Lauderdale, FL 33068-4144
Phone 561-888-9328
Mailing address
8208 S Coral CirNorth Lauderdale, FL 33068-4144
Phone 561-888-9328
Authorized official
Abram Hernandez
Mng
5618889328
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.