Organization
GAINESVILLE GROUP SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISETE M PEREZ (PRESIDENT)
(352) 284-2879
Entity
Organization
Contact information
Practice address
2440 SW 76TH ST STE 140, GAINESVILLE, FL 32608-0345
(352) 284-2879
Mailing address
2440 SW 76TH ST STE 140, GAINESVILLE, FL 32608-0345
(352) 284-2879
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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