Organization
NORMA L. GARY
Active
Other names
Lingerie Boutique by Norma
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA LORRAINE GARY ABC CERTIFICATION (OWNER/CERTIFIED MASTECTOMY FITTER)
(352) 347-7855
Entity
Organization
Contact information
Practice address
16770 S US 441, STE 601, SUMMERFIELD, FL 34491
(352) 347-7855
(352) 347-7856
Mailing address
16770 S US 441, STE 601, SUMMERFIELD, FL 34491
(352) 347-7855
(352) 347-7856
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R6320
BCBS
FL
Enumeration date
08/09/2006
Last updated
02/21/2008
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