Beautifully Graced Llc

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
2155 Palm Bay Rd Ne Ste 7, Palm Bay
Florida, 32905-2907

 321-220-0862   Maps & Directions
Beautifully Graced Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Palm Bay, Florida. It is situated at 2155 Palm Bay Rd Ne Ste 7, Palm Bay and its contact number is 321-220-0862. The authorized person of Beautifully Graced Llc is Stephanie Denise Jernighan who is Cosmetologist of the store and his/her contact number is 901-585-2229.
Beautifully Graced Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


Complete Center Profile:
Beautifully Graced Llc Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier, Prosthetic & Orthotic Supplier
Address:2155 Palm Bay Rd Ne Ste 7, Palm Bay,
Florida, 32905-2907
Phone:321-220-0862
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Stephanie Denise Jernighan
Position: Cosmetologist
Contact Number: 901-585-2229
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Beautifully Graced Llc center are as mentioned below.
NPI Number: 1811617863
NPI Enumeration Date: 30 Aug, 2022
NPI Last Update On: 30 Aug, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beautifully Graced Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Primary
Secondary
Secondary
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
CL1284556OtherFloridaCosmetology License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Beautifully Graced Llc
397 Breckenridge Cir Se,
Palm Bay, Florida
Zip: 32909-2339
Phone Number: 901-585-2229
Patients can reach Beautifully Graced Llc at 2155 Palm Bay Rd Ne Ste 7, Palm Bay, Florida or can call to book an appointment on 321-220-0862. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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