# BREAST RECONSTRUCTION SPECIALISTS, PLLC

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

## Provider details

- **NPI number:** 1598116212
- **Authorized official:** DR. RAJ AMBAY M.D. (BOARD CERTIFIED PLASTIC SURGEON)
- **Authorized official phone:** (813) 406-4448

## Contact information

- **Practice address:** 27716 CASHFORD CIR, FLEET 102B, WESLEY CHAPEL, FL 33544-6962
- **Practice address phone:** (813) 406-4448
- **Mailing address:** 27716 CASHFORD CIR, FLEET 102B, WESLEY CHAPEL, FL 33544-6962
- **Mailing address phone:** (813) 406-4448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME109483 | FL | Yes |

## Other

- **Enumeration date:** 06/23/2016
- **Last updated:** 06/23/2016