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Organization
BREAST RECONSTRUCTION SPECIALISTS, PLLC
Active
Organization
BREAST RECONSTRUCTION SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ AMBAY M.D. (BOARD CERTIFIED PLASTIC SURGEON)
(813) 406-4448
Entity
Organization
Contact information
Practice address
27716 CASHFORD CIR, FLEET 102B, WESLEY CHAPEL, FL 33544-6962
(813) 406-4448
Mailing address
27716 CASHFORD CIR, FLEET 102B, WESLEY CHAPEL, FL 33544-6962
(813) 406-4448
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME109483
FL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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