# MY MEDICAL

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

## Provider details

- **NPI number:** 1952226110
- **Authorized official:** DORIS GRAVEL (OWNER)
- **Authorized official phone:** (660) 600-9817

## Contact information

- **Practice address:** 560 NE 175TH TER, NORTH MIAMI BEACH, FL 33162-1948
- **Practice address phone:** (660) 600-9817
- **Mailing address:** 52 E ARMORY AVE APT 114, CHAMPAIGN, IL 61820-9104
- **Mailing address phone:** (660) 600-9817

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2026
- **Last updated:** 10/02/2026
