| NPI | 1194804567 |
|---|---|
| Doing Business As | SHOBHA'S POST-MASTECTOMY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | SHOBHA BHIDE President 321-784-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2012-09-24 |