Provider Demographics
NPI:1407913890
Name:BRAS & THINGS OF DELRAY BEACH, INC
Entity Type:Organization
Organization Name:BRAS & THINGS OF DELRAY BEACH, INC
Other - Org Name:BRAS 'N THINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBARA
Authorized Official - Suffix:
Authorized Official - Credentials:CMF, CFM
Authorized Official - Phone:561-498-9222
Mailing Address - Street 1:6622 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1616
Mailing Address - Country:US
Mailing Address - Phone:561-498-9222
Mailing Address - Fax:561-498-0998
Practice Address - Street 1:6622 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1616
Practice Address - Country:US
Practice Address - Phone:561-498-9222
Practice Address - Fax:561-498-0998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0675970001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM2119OtherBLUE CROSS BLUE SHIELD FL
FL0675970001Medicare NSC