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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