Organization
BREAST RECONSTRUCTION SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ AMBAY M.D. (BOARD CERTIFIED PLASTIC SURGEON)
(813) 406-4448
Entity
Organization
Contact information
Practice address
27716 CASHFORD CIR, FLEET 102B, WESLEY CHAPEL, FL 33544-6962
(813) 406-4448
Mailing address
27716 CASHFORD CIR, FLEET 102B, WESLEY CHAPEL, FL 33544-6962
(813) 406-4448
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME109483
FL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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