Organization
KINGS GRANT MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRTA MORALES (PRESIDENT)
(786) 573-4200
Entity
Organization
Contact information
Practice address
13605 SW 149TH AVE, SUITE # 9, MIAMI, FL 33196-5057
(786) 573-4200
(305) 278-9046
Mailing address
14861 SW 160TH ST, MIAMI, FL 33187-0800
(305) 233-1209
(305) 278-9046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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