Organization
CGM DIABETIC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBERT BAYLIS (AUTHORIZED MEMBER)
(561) 570-5915
Entity
Organization
Contact information
Practice address
4400 N FEDERAL HWY STE 210-49, BOCA RATON, FL 33431-5187
(561) 570-5915
Mailing address
1271 SW 13TH DR, BOCA RATON, FL 33486-5364
(561) 299-6893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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