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

Specialty Facial Prosthetics LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1912665076

Specialty Facial Prosthetics LLC is a Durable Medical Equipment & Medical Supplies in Brandon, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

214 E Lumsden Rd
Brandon, FL 33511-6440
Phone: (813) 684-1142
Fax: (813) 681-0921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1912665076
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpecialty Facial Prosthetics, LLC
Authorized official Charlesetta Thompson — Authorized Official · (405) 595-3226
NPI enumeratedDecember 6, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address229 Nw 9th St, Oklahoma City, OK 73102-2619

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