# BRANDON BRACE INC

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

## Provider details

- **NPI number:** 1780767277
- **Authorized official:** MR. ALBERT A NORIEGA (PRESIDENT/OWNER)
- **Authorized official phone:** (813) 681-2202

## Contact information

- **Practice address:** 101 CARVER AVENUE, BRANDON, FL 33510-4526
- **Practice address phone:** (813) 681-2202
- **Practice address fax:** (813) 662-9922
- **Mailing address:** 101 CARVER AVE, BRANDON, FL 33510-4526
- **Mailing address phone:** (813) 681-2202
- **Mailing address fax:** (813) 662-9922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1313051 | FL | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020