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Ms. Eda Susan Renieri, MASTECTOMYFITTER
Mastectomy Fitter in Melbourne, Florida
NPI 1932285178

Eda Susan Renieri is a Mastectomy Fitter based in Melbourne, FL. Eda Susan Renieri practices in Melbourne, FL and has the professional credentials of MASTECTOMYFITTER. The NPI Number for Eda Susan Renieri is 1932285178 and holds a License No. (Florida).

The current practice location address for Eda Susan Renieri is 517 East Strawbridge Ave, Melbourne, FL and can be reached out via phone at 321-728-9442 and via fax at 321-728-9440.

Location: 517 East Strawbridge Ave, Melbourne, FL, 32901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932285178
Provider Name
Eda Susan Renieri
Credential
MASTECTOMYFITTER
Provider Entity Type
Individual
Gender
Female
Address
517 East Strawbridge Ave, Melbourne, FL, 32901
Phone Number
321-728-9442
Fax Number
321-728-9440
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M2733 01 BLUE CROSS BLUE SHIELD FL
44539000 01 FL CIGNA
institution
Provider Business Practice Location Address Details
Address
517 East Strawbridge Ave
City
Melbourne
State
Florida
Zip
32901
Phone Number
321-728-9442
Fax Number
321-728-9440
person
Provider Business Mailing Address Details
Address
517 East Strawbridge Ave
City
Melbourne
State
Florida
Zip
32901
Phone Number
321-728-9442
Fax Number
321-728-9440
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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