Provider Demographics
NPI:1588282412
Name:RED DIAMOND BEAUTY
Entity type:Organization
Organization Name:RED DIAMOND BEAUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARAMIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-703-1013
Mailing Address - Street 1:3302 AZALEA BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33567-2109
Mailing Address - Country:US
Mailing Address - Phone:813-210-3041
Mailing Address - Fax:
Practice Address - Street 1:1514 S ALEXANDER ST STE 207
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-8418
Practice Address - Country:US
Practice Address - Phone:813-730-1013
Practice Address - Fax:813-652-8263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment