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

Organization Prosthetic/Orthotic Supplier · NPI 1316047350

Lifeshapes Boutique Inc is a Prosthetic/Orthotic Supplier in Brandon, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

518 Lakewood Dr
Brandon, FL 33510-4037
Phone: (813) 654-6968
Fax: (813) 655-6968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1316047350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Felicia Dickey — Owner · (813) 629-6331
NPI enumeratedSeptember 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address518 Lakewood Dr, Brandon, FL 33510-4037

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