OrganizationActive
Mary'S Majestic Medical Wigs
NPI 1518640705 · Prosthetic/Orthotic Supplier · Mims, FL
Provider details
- NPI number
- 1518640705
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mary Johnson, Cranial Prosthesis Specialist(321) 603-1761
Specialties & taxonomies
Suppliers
Practice location
2589 Wiley Ave
Mims, FL 32754-4506
Phone: (321) 603-1761
Fax: (321) 603-1761
Approximate (ZIP-level) locationGet directions
Mailing address
3155 Columbia Blvd # 1035
Titusville, FL 32780-7820
Registry dates
- Enumerated
- 2023-08-14
- Last updated
- 2023-08-14
- Certified
- 2023-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.