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

Phive Star Hair Boutique LLC

Organization Prosthetist · NPI 1467170324

Phive Star Hair Boutique LLC is a Prosthetist in Orlando, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 N Magnolia Ave Ste A1
Orlando, FL 32801-1650
Phone: (321) 374-1460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X

Record details

NPI number1467170324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kateau Cerisme — Ceo · (321) 374-1460
Other names Phive Star Hair Boutique Llc
NPI enumeratedAugust 17, 2022
Last updated in NPPESAugust 17, 2022
Certification dateAugust 10, 2022
Mailing address320 N Magnolia Ave Ste A1, Orlando, FL 32801-1650

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