# GRACE MED SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRACE MED SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003424888
- **Authorized official:** ANDRES MALDONADO (OWNER)
- **Authorized official phone:** (954) 366-5453

## Contact information

- **Practice address:** 5701 NW 88TH AVE STE 260A, TAMARAC, FL 33321-4440
- **Practice address phone:** (954) 366-5453
- **Mailing address:** 5701 NW 88TH AVE STE 260A, TAMARAC, FL 33321-4440
- **Mailing address phone:** (954) 366-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2020
- **Last updated:** 07/17/2020