Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blu Haven Salon LLC

Organization Prosthetic/Orthotic Supplier · NPI 1790634566

Blu Haven Salon LLC is a Prosthetic/Orthotic Supplier in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

16259 Tisons Bluff Rd
Jacksonville, FL 32218-0141
Phone: (904) 431-2131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1790634566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Guerline Divra — Owner/Manager · (904) 431-2131
Other names Blu Haven Cranial Prosthetics
NPI enumeratedJanuary 26, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address731 Duval Station Rd, Jacksonville, FL 32218-0800

Other providers in Jacksonville