Organization
MD HEALTH SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GRULLON (OWNER)
(800) 510-4812
Entity
Organization
Contact information
Practice address
399 NW 2ND AVE STE 214, BOCA RATON, FL 33432-3848
(800) 510-4812
Mailing address
399 NW 2ND AVE STE 214, BOCA RATON, FL 33432-3848
(800) 510-4812
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
06/11/2020
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