Provider Demographics
NPI:1255119749
Name:AROMA HAIR SYSTEM
Entity type:Organization
Organization Name:AROMA HAIR SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIALIST OF CRANIAL PROSTHESIS
Authorized Official - Prefix:
Authorized Official - First Name:IN
Authorized Official - Middle Name:SUN
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIALIST
Authorized Official - Phone:904-326-2673
Mailing Address - Street 1:252 RITTBURN LN
Mailing Address - Street 2:
Mailing Address - City:ST JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-8479
Mailing Address - Country:US
Mailing Address - Phone:904-326-2673
Mailing Address - Fax:
Practice Address - Street 1:1650 COUNTY ROAD 210 W
Practice Address - Street 2:
Practice Address - City:ST JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-2011
Practice Address - Country:US
Practice Address - Phone:904-326-2673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies