NPI 1043767510

Its Jazzy Salo

Organisation Prosthetic/Orthotic Supplier Tampa, FL

Practice location

Address: 3010 N 22nd St, Tampa, FL 33605-1914
Phone: (813) 241-1400
Mailing address: 3010 N 22nd St, Tampa, FL 33605

Authorised official

Name: Monica Morris
Title: Certified Hair Loss Professional
Phone: (813) 415-7526

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CL1212955 (FL)

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Registry record

NPI: 1043767510
Entity type: Organization
NPI issued: 1 Sep 2016
Record last updated: 1 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.