NPI 1124873906
Divine Dezires
Practice location
- Address
- 9341 Forest Hill Blvd STE 650, Wellington, FL 33414
- Phone
- (305) 450-9309
- Fax
- (561) 484-1868
Authorised official
- Name
- Turquisha Peacock
- Title
- Cranial Prosthesis Specialist
- Phone
- (305) 450-9309
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1124873906
- Entity type
- Organization
- NPI issued
- 23 Apr 2024
- Record last updated
- 24 Apr 2024
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.