Provider Demographics
NPI:1639340276
Name:BRAS AND SPECIALTIES INC
Entity Type:Organization
Organization Name:BRAS AND SPECIALTIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-826-2727
Mailing Address - Street 1:177 SE MIZNER BLVD STE 36
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5007
Mailing Address - Country:US
Mailing Address - Phone:561-826-2727
Mailing Address - Fax:561-826-2727
Practice Address - Street 1:177 SE MIZNER BLVD STE 36
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5007
Practice Address - Country:US
Practice Address - Phone:561-826-2727
Practice Address - Fax:561-826-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL608013409071-9332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5438160001Medicare NSC