Organization
PEARL ROSE WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA CARRASCO (PRESIDENT/ OPERATION MANAGER)
(813) 409-3425
Entity
Organization
Contact information
Practice address
1463 OAKFIELD DR STE 132, BRANDON, FL 33511-0802
(813) 409-3425
(813) 409-3427
Mailing address
1463 OAKFIELD DR STE 132, BRANDON, FL 33511-0802
(813) 409-3425
(813) 409-3427
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/02/2022
Last updated
06/02/2023
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