Organization
GRACE MED SUPPLY INC
Active
Other names
GRACE MED SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES MALDONADO (OWNER)
(954) 366-5453
Entity
Organization
Contact information
Practice address
5701 NW 88TH AVE STE 260A, TAMARAC, FL 33321-4440
(954) 366-5453
Mailing address
5701 NW 88TH AVE STE 260A, TAMARAC, FL 33321-4440
(954) 366-5453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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