OrganizationActive
Divine Dezires
NPI 1124873906 · Prosthetic/Orthotic Supplier · Wellington, FL
Provider details
- NPI number
- 1124873906
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Turquisha Peacock, Cranial Prosthesis Specialist(305) 450-9309
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9341 Forest Hill Blvd
Ste 650
Wellington, FL 33414
Phone: (305) 450-9309
Fax: (561) 484-1868
Street-level locationGet directions
Mailing address
9341 Forest Hill Blvd
Wellington, FL 33414
Registry dates
- Enumerated
- 2024-04-23
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.