Organization
GRACEFUL MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE NELSON (OWNER)
(813) 315-8625
Entity
Organization
Contact information
Practice address
220 W BRANDON BLVD STE 206, BRANDON, FL 33511-5100
(813) 315-8625
Mailing address
220 W BRANDON BLVD STE 206, BRANDON, FL 33511-5100
(813) 315-8625
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
03/02/2019
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