Organization
SS & PM INC
Active
Other names
Shobha's Post-Mastectomy Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
SHOBHA BHIDE (PRESIDENT)
(321) 784-4441
Entity
Organization
Contact information
Practice address
1930 PORPOISE ST, MERRITT ISLAND, FL 32952-5644
(321) 784-4441
(321) 784-8212
Mailing address
1485 N ATLANTIC AVE, SUITE 111, COCOA BEACH, FL 32931-3244
(321) 784-4441
(321) 784-8212
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/04/2006
Last updated
09/24/2012
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