# GAINESVILLE GROUP SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033659727
- **Authorized official:** LISETE M PEREZ (PRESIDENT)
- **Authorized official phone:** (352) 284-2879

## Contact information

- **Practice address:** 2440 SW 76TH ST STE 140, GAINESVILLE, FL 32608-0345
- **Practice address phone:** (352) 284-2879
- **Mailing address:** 2440 SW 76TH ST STE 140, GAINESVILLE, FL 32608-0345
- **Mailing address phone:** (352) 284-2879

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017