Unique Boutique LLC
NPI #1235378746 in Indialantic, Florida
Provider Information
- NPI Number
- 1235378746
- Entity Type
- Organization
- Organization Name
- Unique Boutique LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 8, 2009
- Last Updated
- Feb 8, 2009
Practice Location
- Address
- 125 S MIRAMAR AVE
- City
- Indialantic
- State
- Florida
- ZIP Code
- 32903-3225
- Phone
- (321) 626-5610
Authorized Official
- Name
- MR. PHILIP J DECARA
- Title
- DIR OF OPERATIONS
- Phone
- (321) 626-5610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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