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Organization

KGA MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MA GRACIA CADET (OWNER)
(561) 412-6802
Entity
Organization

Contact information

Practice address
111 E MONUMENT AVE, STE 401-10, KISSIMMEE, FL 34741-5774
(800) 439-1580
Mailing address
111 E MONUMENT AVE, STE 401-10, KISSIMMEE, FL 34741-5774
(800) 439-1580

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/14/2022
Last updated
12/06/2023
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