| NPI | 1417145921 |
|---|---|
| Doing Business As | BRIDGE BREAST AND AESTHETIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DONNA M BRIDGE Presidenr 813-684-2506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL me78627) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-10 |