Provider Demographics
NPI:1528880499
Name:THE CONCIERGE STYLIST, LLC
Entity type:Organization
Organization Name:THE CONCIERGE STYLIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRICHOLOGIST/ HAIR LOSS SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-302-0191
Mailing Address - Street 1:1333 COLLEGE PKWY STE 1043
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-2711
Mailing Address - Country:US
Mailing Address - Phone:772-302-0191
Mailing Address - Fax:
Practice Address - Street 1:101 GATLIN AVE STE 143
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6950
Practice Address - Country:US
Practice Address - Phone:772-302-0191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment