Organization
SUNCOAST BREAST RESTORATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJ AMBAY M.D. (PRESIDENT)
(813) 563-1144
Entity
Organization
Contact information
Practice address
403 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(813) 563-1144
Mailing address
403 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(813) 563-1144
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
01/04/2017
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