Organization · NPI-2

Beauty Vault Lux LLC.

Prosthetic/Orthotic Supplier · Hollywood, FL

NPI number1609486737
StatusActive
Last updated in NPPESAug 4, 2020

Details

NPI
1609486737
Entity type
Organization (NPI-2)
Legal business name
Beauty Vault Lux LLC.
Organization subpart
No
Enumeration date
Aug 4, 2020
Certification date
Aug 4, 2020
Last updated
Aug 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

5100 Sw 41st St
Hollywood, FL 33023-6948

Phone 786-278-9069

Mailing address

5100 Sw 41st
Apt 115
Hollywood, FL 33023-6988

Authorized official

Gessy Rigaud
Owner
7862789069

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