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Organization
J&G MEDICAL SUPPLIES
Active
Organization
J&G MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNIOR GRACIA (MANAGER)
(772) 353-1718
Entity
Organization
Contact information
Practice address
2011 S 25TH ST STE 209, FORT PIERCE, FL 34947-4748
(772) 672-4409
Mailing address
2011 S 25TH ST STE 209, FORT PIERCE, FL 34947-4748
(772) 672-4409
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/14/2022
Last updated
06/08/2023
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