Organization
RENEW MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK GULOTTA (PRESIDENT)
(561) 573-1174
Entity
Organization
Contact information
Practice address
14742 NEWPORT AVE STE 106, TUSTIN, CA 92780-1612
(714) 714-0555
Mailing address
14742 NEWPORT AVE STE 106, TUSTIN, CA 92780-1612
(714) 714-0555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
04/09/2020
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