# KGA MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1447997150
- **Authorized official:** MA GRACIA CADET (OWNER)
- **Authorized official phone:** (561) 412-6802

## Contact information

- **Practice address:** 111 E MONUMENT AVE, STE 401-10, KISSIMMEE, FL 34741-5774
- **Practice address phone:** (800) 439-1580
- **Mailing address:** 111 E MONUMENT AVE, STE 401-10, KISSIMMEE, FL 34741-5774
- **Mailing address phone:** (800) 439-1580

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2022
- **Last updated:** 12/06/2023