Provider Demographics
NPI:1053292144
Name:PERSONA BESPOKE LLC
Entity type:Organization
Organization Name:PERSONA BESPOKE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MNG
Authorized Official - Prefix:
Authorized Official - First Name:ABRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:561-888-9328
Mailing Address - Street 1:8208 S CORAL CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-4144
Mailing Address - Country:US
Mailing Address - Phone:561-888-9328
Mailing Address - Fax:
Practice Address - Street 1:8208 S CORAL CIR
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4144
Practice Address - Country:US
Practice Address - Phone:561-888-9328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty