Organization
GQ MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN OYAGHIRE IDEHEN OTR/L (PRESIDENT)
(407) 830-0090
Entity
Organization
Contact information
Practice address
1250 W STATE ROAD 434, SUITE 1000, LONGWOOD, FL 32750-4969
(407) 830-0090
(407) 830-9413
Mailing address
1250 W STATE ROAD 434, SUITE 1000, LONGWOOD, FL 32750-4969
(407) 830-0090
(407) 830-9413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1278
FL
Other
Enumeration date
12/21/2005
Last updated
08/22/2020
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