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

Divine Dezires

Organization Prosthetic/Orthotic Supplier · NPI 1124873906

Divine Dezires is a Prosthetic/Orthotic Supplier in Wellington, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

9341 Forest Hill Blvd Ste 650
Wellington, FL 33414
Phone: (305) 450-9309
Fax: (561) 484-1868
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 number1124873906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Turquisha Peacock — Cranial Prosthesis Specialist · (305) 450-9309
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address9341 Forest Hill Blvd, Ste 650, Wellington, FL 33414

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