Organization
GILGAL MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CHACKO (VP)
(407) 484-0032
Entity
Organization
Contact information
Practice address
4050 13TH ST, SAINT CLOUD, FL 34769-6774
(407) 484-0032
Mailing address
4050 13TH ST, SAINT CLOUD, FL 34769-6774
(407) 484-0032
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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