# ELEANOR'S BRAS & BREAST FORMS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023122132
- **Authorized official:** TAMMIE M STEWART RFM (CORPORATE PRESIDENT)
- **Authorized official phone:** (727) 845-5777

## Contact information

- **Practice address:** 7538 CONGRESS ST, NEW PORT RICHEY, FL 34653-1105
- **Practice address phone:** (727) 845-5777
- **Practice address fax:** (727) 841-8910
- **Mailing address:** 7538 CONGRESS ST., NEW PORT RICHEY, FL 34653
- **Mailing address phone:** (727) 845-5777
- **Mailing address fax:** (727) 841-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | C08473050 | FL | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 10/02/2019