Divine Apparel, LLC

NPI #1730417742 in Maitland, Florida

Provider Information

NPI Number: 1730417742
Entity Type: Organization
Organization Name: Divine Apparel, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 2, 2009
Last Updated: Dec 2, 2009

Practice Location

Address: 140 S WEST AVE
City: Maitland
State: Florida
ZIP Code: 32751-5465
Phone: (407) 448-3665

Authorized Official

Name: MR. DONOVAN DENNIS DAVIS
Title: PRESIDENT
Phone: (407) 448-3665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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