Organization
ELEANOR'S BRAS & BREAST FORMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE M STEWART RFM (CORPORATE PRESIDENT)
(727) 845-5777
Entity
Organization
Contact information
Practice address
7538 CONGRESS ST, NEW PORT RICHEY, FL 34653-1105
(727) 845-5777
(727) 841-8910
Mailing address
7538 CONGRESS ST., NEW PORT RICHEY, FL 34653
(727) 845-5777
(727) 841-8910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C08473050
FL
Other
Enumeration date
08/18/2006
Last updated
10/02/2019
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