Provider Demographics
NPI:1447523303
Name:UNIQUELY YOU OF FLORIDA INC.
Entity type:Organization
Organization Name:UNIQUELY YOU OF FLORIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KITCHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-705-0046
Mailing Address - Street 1:707 60TH STREET CT E STE B
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-6268
Mailing Address - Country:US
Mailing Address - Phone:941-243-3856
Mailing Address - Fax:941-243-3857
Practice Address - Street 1:707 60TH STREET CT E
Practice Address - Street 2:SUITE B
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-6279
Practice Address - Country:US
Practice Address - Phone:941-243-3856
Practice Address - Fax:941-243-3857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy FitterGroup - Multi-Specialty
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6687590001Medicare NSC