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Organization
GRACE MED SUPPLY INC
Active
Organization
GRACE MED SUPPLY INC
Active
Other names
GRACE MED SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES MALDONADO (OWNER)
(954) 366-5453
Entity
Organization
Contact information
Practice address
5701 NW 88TH AVE STE 260A, TAMARAC, FL 33321-4440
(954) 366-5453
Mailing address
5701 NW 88TH AVE STE 260A, TAMARAC, FL 33321-4440
(954) 366-5453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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