# J&G MEDICAL SUPPLIES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1073221552
- **Authorized official:** JUNIOR GRACIA (MANAGER)
- **Authorized official phone:** (772) 353-1718

## Contact information

- **Practice address:** 2011 S 25TH ST STE 209, FORT PIERCE, FL 34947-4748
- **Practice address phone:** (772) 672-4409
- **Mailing address:** 2011 S 25TH ST STE 209, FORT PIERCE, FL 34947-4748
- **Mailing address phone:** (772) 672-4409

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 06/08/2023