Organization
GISELLE MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NESTOR V GODOY (PRESIDENT)
(305) 667-1215
Entity
Organization
Contact information
Practice address
13275 SW 136TH ST UNIT 13, MIAMI, FL 33186-5825
(305) 667-1215
(305) 667-1249
Mailing address
13275 SW 136TH ST, UNIT # 13, MIAMI, FL 33186-5825
(305) 667-1215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001250
EPA ACCREDITATION
FL
01
—
307
AHCA LICENSE
FL
01
—
32 4397
OXYGEN LICENSE
FL
Enumeration date
06/10/2006
Last updated
01/07/2008
Update your record
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